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i <br /> ' � � <br /> �i ' ' <br /> � � ' PASCO COUidTY, F�ORID�4 <br /> � <br /> I <br /> � � Permit No. 2 �' <br /> � Date Permitted (_�8-,( <br /> Builder Name/Owner Name � � ��(? C1�1� Control# <br /> I 6U Oc,2 <br /> County Parcel No, D�-2fi-Zf_��Z�_���_� SubDiv: �e I�er'�tG�a <br /> 3�0 3� _(� /� <br /> Address/Location ��� lY-,`�• e r"�'n� C�-`� <br /> Classification/Type of Use �i I� ,,.�,�� <br /> —i TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: d�� <br /> Exempt � Yes � No How Determined � <br /> Impact Fee Amount $ ���O cc�2� D a Zone No. <br /> __ TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount Q'j 7�, ��j <br /> (057) Mobile Home $ — �' <br /> (058) Other Residential <br /> 123) Collectlon Fee <br /> Exempt Yes �] No How Determined <br /> PARKS AND RECREATIOM FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit <br /> Recreation Total <br /> Zone TOTAL AMOUNT $ rj( 9•�6 <br /> Exempt � Yes � No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit <br /> Land Total <br /> Facility Account Facility Credit <br /> Facility Total <br /> Exempt � Yes �.No How Determined __ Total Amount .�` <br /> RESOURCE FEE ERU <br /> TOTALAMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICA7E OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTIOfV <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> RECEIPTED FOR BY A CEN7RAL P RMITI'NG 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 th�conditions of payment for same. <br /> DATE <br /> ' RECEIVED BY <br /> RECEIPT NO. __ pATE �_ gY <br /> � <br /> � --- <br />