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_ <br /> � <br /> , . . <br /> ' � ��s� <br /> -1 - O COIJIIVTY, F'LORIDi4 <br /> 1 <br /> ; .. .. 9 <br /> ' Permit No. ��Q � <br /> ` Date Permitted _ ,s- <br /> } Z f <br /> I ., �A --� n �---�— <br /> � ? Builder Name/Owner Name �/v�� ��-C.� <br /> � Control# <br /> � County Parcel No, 3 _2$-Z�_ /`' JI� � <br /> ; - n�BO-U d Dd_�.�' ubDiv. (�ra�,� �(Ti�2.'�i'1S <br /> � ` Address/Location �7�Z(� �,C� ��O M �(�-(� / ,-�- Z�� <br /> h.D <br /> � � Classification/Type of Use �Q F�, ��. '�yv�� <br /> ; . <br /> ! ? TRANSPORTATION IMPACT FEE <br /> � � Rate: Sq Ft Unit: j/ ��Z. <br /> ? _— <br /> Exempt � Yes � No How Determined <br /> i ; Impact Fee Amount $ 3�p 3�. (jQ Zone No. <br /> � __ TAZ: <br /> ; SCHOOL IMPACT FEE <br /> � Account (056) Single-Family Detached House Amount _�� <br /> (057) Mobile Home $ <br /> i (058) Other Residential <br /> ' 123) Collection Fee <br /> ( Exempt (� Yes �] No How Determined <br /> c <br /> � ; <br /> I � PARKS AND RECREATION FEE <br /> � Land Account Land Credit Land Total <br /> � <br /> � i Recreation Account __ Recreation Credit <br /> � � __ Recreation Total � <br /> � � Zone <br /> � I TOTAL AMOUNT $ �j 7c3, �� <br /> � Exempt [] Yes [] No How Determined <br />, i <br /> i i LIBRARY FEE <br /> i i Land Account Land Credit <br /> Land Total <br /> � i Facility Account ___ Facility Credit <br /> � Facility Total <br /> ( Exempt � Yes � No How Determined <br /> ( ___ Total Amount� <br /> � � RESOURCE FEE <br /> ` TOTALAMOUNT ERU <br /> I <br /> � <br /> I <br /> I Prepared By Checked By <br /> I NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL(NSPECTION <br /> PERFORMED UNTIl.THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> I RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> Acknowledgement below does not(mply acceptance of concurrence,but simply recelpt of a copy of this form,placing <br /> � ihe building permit owner on nodce of this assessment and thQ conditions of payment for same. <br /> � DATE <br /> � � <br /> i RECEIVED BY <br />' i RECEIPT NO __ pATE __ g�. <br /> i <br /> � <br /> � ' �- <br /> , , <br /> I <br />