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. i • ' j -- I ' �' � P�►SCO COUN1'Y, FLORIIJ�► t: ; � �' �' Permit No.I� 7 Date Permitted — �/ � / t ; Builder Name/Owner Name i�?C �� Control# � County Parcel No. l �J Z�--Z�— .�IG�-C�ODL,Y�-D��SubDiv: /��'�t� i Address/Location -�73Z �irp��'/� .t=? d-/� i Classification/Type of Use '-_ / 0.��l�"]�j'Y�.� -'- :��:` �:. � TRANSPORTATION IMPACT FEE . Rate: Sq Ft Unit: �"� ; � Exempt � Yes � No How Determined � I Impact Fee Amount $ �.3� � -3�i Zone No. TAZ: � � i I SCHOOL IMPACT FEE � Account (056) Single-Family Detached House Amount $ � _��, ' j (057) Mobile Home I (058) Other Residential • ! � 123) Collection Fee � � ; Exempt b Yes Q No How�Determined � � ` I PARKS AND RECREATION FEE � i Land Account Land Credit Land Total ; ;) • t Recreation Account Recreation Credit Recreation Total d ' � {i ; . i Zone TOTAL AMOUNT $ 7�/'l'� 5,�a ,1 '� . _ ,.� � Exempt � Yes � No How Determined � li LIBRARY FEE � � Land Account Land Credit Land Total � I . '( , ; Facility Account Facility Credit Facility Total I ' '� ' � Exempt ❑ Yes � No How Determined Total Amount � ;� •. . � RESOURCEFEE ERU �i : I TOTAL AMOUNT _ I � . ; � Prepared By � � Checked By I � ; � !� NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTIOfV � i PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE � ' BEEN PAID AND i �; RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY � i j �' Acknowledgement below does not imply acceptance of concurrence,but simply recelpt of a copy of this form,pladng � � the building permit owner on notice of this assessment and the conditions of payment for same. � I � i � � , � DATE RECEIVED BY � ' RECEIPT NO. DATE BY � i ( � , , I .I . . 1 ; – _��_..�---,,:.�.:—,_�_--_-.--:__..-,