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i <br /> I <br /> : PASCO COIJf�TY, FL�RIDA <br /> i , �: <br /> � Permit No. / 7/C <br /> i Date Permitted //- - � <br /> i Builder Name/Owner Name �� ]� �-�dYl ��� Control# <br /> I County Parcel No. _D�--Z(�/_b0 70--�O l vo-dUBv SubDiv: cS'� j���i'd <br /> , <br /> � AddresslLocation 3 �pQ��j �,��Q ��� '� <br /> � ClassiflcationlType of Use �cl� It �� ` <br /> TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: , Z� ���- <br /> Exempt � Yes � No How Determined <br /> Impact Fee Amount $ 3, ��j Z Zone No. TqZ: <br /> �— <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ _L�, ��(p, 7,� <br /> (057) Mobile Home � <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt Yes � No How Determfned <br /> PARKS AND RECREATION FEE <br />' Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ 7(p�.`j� <br /> Exempt � Yes � No How Determined <br /> I LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credlt Facility Total <br /> Exempt � Yes �.No How Determined Total Amount �` <br /> RESOURCE FEE ERU <br /> TOTALAMOUNT <br /> Prepared By ' Checked By <br /> NO CERTIFICATE OF OCCUPAfVCY WILL BE ISSUED OR FINAL IIdSPECTIOIV <br />� PERFORMED UNTIL THE TOTAL AMOUNTS LISTED NAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CEMTRAL PERMI'TTING OFFI <br /> CE OF�ASCO COUN7Y <br /> Acknowledgement below does not imply acceptance of concurrence,but simply recelpt of a copy of this form,placing <br /> the 6uilding permit owner on notice of this assessment and thQ canditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE __ gy <br /> � <br />