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f <br /> ,�1 <br /> �'i}'r\ <br /> �.} <br /> ` : PASCO COUNTY, F'LORIDA <br /> ., -:-. <br /> ,� <br /> . <br /> Permit No. � ��4 � <br /> Date Permitted � Z- 1�(�-� <br /> Builder Name/Owner Name � �G�d I't�YY�� Control # <br /> County Parcel No. �- 2(�_Z� _0 O�ri--t32o�-D[0� SubDiv: � (1er�� <br /> AddresslLocation ��P � � ��� ��� �� #�� <br /> i <br /> Classification/Type of Use �',,�p �e ;n� (.� <br /> ! <br /> TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: C�� <br /> Exempt � Yes � No How Determined <br /> � Impact Fee Amount $ �b �Z- f� Zone No. T,c�; <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ �� 7�p , �� <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt Yes � No How Determined <br />� PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br />��� Zone TOTAL AMOUNT $ '�j;,"]�9, � <br /> Exempt � Yes � No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt � Yes � No How Determined Total Amount `� <br /> RESOURCE FEE , ERU <br /> TOTAL AMOUNT <br /> Prepared By .� �� Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL �E ISSUED OR FINAL INSPECTION <br /> PEaFORMED UNTIL THE 70TAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTIfVG OFFICE OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrence, but slmply recelpt of a copy of this form,placing <br /> the building permit owner on notice of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE gy <br />