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� ; _ : PASG4 GQUNTY, FI.ORIDA <br /> ( ,: <br /> � � <br /> � .' Permit Na, �7(� <br /> � Date Perm'sffed T� <br /> Builder NameiOwner Name ��rrvnl��t.. /�►t �'�'�.tro1# <br /> , , <br /> � ��t. <br /> County Parcel No. �`�ZS-2I-b t 8d l7 dt�29'8� Subpiv: (�pY�ez� T,fNt`� <br /> AddresslLocation ��372at� l�GCG(.t�Q�ct �� CA7— ��� <br /> Glassiflcatianffype of Use jY1Gt,.�k�A�� �r� ��.�� <br /> 'TRANSPQRTATION tMPACT FEE Rate; Sq Ft Unit: ��,,�� <br /> Exempf [] Yes � No How Defermined <br /> Impact Fee Amount $ 3(,�Z,. • Zone No. TAZ: <br /> SGHOOL IMPAGT FEE ���,,�.�r- <br /> Accaunt (056) Sfng{e-Family Defached House Amount $ ��� <br /> (057} Mobi(e Nome <br /> (058} Otfier Residential <br /> 123) Collection Fee <br /> Exempt [�Yes [� No How Determined <br /> PARKS ANQ REGREA7iON FEE <br /> Land Account Land Credit Land Total <br /> Recreafion Account Recreation Credit Recreation Total <br /> Zane TO7AL AMOUNT $ �J ?J���� I� <br /> Exempt � Yes �] No kiow Determined <br /> , LtBRARY FEE <br /> � Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt � Yes � Na liow Determined Totai Amaunt c=� <br /> RESOURCE FEE ERU <br /> TOTALAMOUNT <br /> Prepared By r Checked By <br /> ND CERTtF{CATE OF t}CCUPANCY WtLL BE ISSUED OR FiNAL INSPECTION <br /> FEF2Fi3RMED I,.iNT1L THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> itECE1PTED FOR BY A CENTRAL PEFtM11TING QFFICE OF PASCO COUNTY <br /> Acknowledgement below does not imply acceptance of conourrence,but simply recslpt of a copy of this fotm,placing <br /> ifie building permlt owner on nohca of ihis assessment and tha aonditions of payment for sama. <br /> DATE REGE{VED BY <br /> a RECElP7 NQ. dATE BY <br /> � <br /> i <br /> ; <br />