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^�� <br /> - � - PASCO COUNTY, FLORIDA <br /> Permit No, � ��3'� <br /> Date Permitted �-�j/7 <br /> Builder Name/Owner Name R/� F/dr,o�k /1i/,g„u�,.�yy�r�ontrol� — <br /> County Parcel No. 3y 2S-L/-O/70 .DDOoa-Z 0 o p SubDiv: /1� ' � �� <br /> Address/Location �j`]�'�� ��(/ � /.��Z�d <br /> Classification/Type of Use /Lfv�r�e !L(�rtG��� �,S„�o <br /> TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: ��i(rLL� <br />, Exempt [] Yes � No How Determined <br /> Impact Fee Amount $ ��3y Zone No. Tp,Z; <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ <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 TOTALAMOUNT $ S��=�3 <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 /> RESOURCEFEE ERU <br /> TOTAL AMOUNT <br /> Prepared By r Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> � <br /> Acknowiedgement below.does not(mply acceptance of concurrence,but simply recelpt of a copy of this form,placing <br /> the building permit owner on notice of this assessment and the cond(tions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO DATE BY <br />