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i - - _ I . <br /> . . i <br /> i <br /> � ': PASCO COUNTY,, FLORIDA <br /> � Permit No. � 3� <br /> , � Date Permitted ;�,_ <br /> Builder Name/Owner Name �� �j��� Control# <br /> � County Parcel No. O�-2(�-Z/_b�7o ,.bd(Z96��2kSZ) SubDiv: � � d <br /> Address/Location 3(� �3'7 �,� �,��k�� <br /> Classi�cation/Type of Use �n j �,,��� <br /> TRANSPORTATION IMPACT FEE , Rate: ' Sq Ft Unit: Z,�(� '� <br /> . � Exempt [] Yes � No How Determined ', <br /> � Impact Fee Amount $ v�, (0,32. Zone No. � <br /> TAZ: <br /> SCHOOL IMPACT FEE �- <br /> Account (056) S(ngle-Family Detached House Amount $ g"7�, Zg3 <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 iLand Total <br /> � �Recreation Account __ Recreation Credit � ; <br /> Recreation Total � <br /> � Zone TOTAL AMOUNT $ 6�-S�(, � <br /> Exempt [] Yes � No How Determined • - <br /> ' LIBRARY FEE <br /> � Land Apcount Land Credit Land Total ' <br /> Facility Account Facility Credit " <br /> Facility Total i <br /> Exeinpt � Yes � No How petermined __ Total Amount <br /> ' � RESOURCE FEE ERU <br /> TOTALAMOUNT <br /> Prepared By Checked By i. , <br /> NO CERTIFICATE OF OCCUPANCY WILL BE I�SUED 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 i <br /> Acknowledgement below does not imply acceptance of concurrence;but slmply recelpt of a copy of thls form, lacing <br /> the buflding permit owner on noUce of this assessment and tha conditions of payment for same. <br /> I i <br /> DATE RECEIVED BY I I <br /> RECEIPT NO. DATE __j gY <br /> � . <br /> I <br />