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_ � I ._` <br /> , � <br /> , � <br /> � <br />� � PASCO COUNTY, FLORIDA ; <br /> � <br /> Permit No. - �j� 6 � <br /> Date Permitted —�_ <br /> � Builder Name/Owner Name � ¢r��Q Control# � <br /> County Parcel No. ��(--Z�o y���Q"j�_�j��� d�SubDiv: � f <br /> S �U2ra0�0� . <br /> Address/Location _���'Z 3 C�'�1� W� � k � � <br /> i <br /> Classification/Type of Use c���'1(�' � �-aiy.n, j� �•y�_ ; <br /> � <br /> � TRANSPORTATION IMPACT FEE Rate: � � ' <br /> Sq Ft Unit: Z� Z-3� <br /> •� Exempt � Yes � No How Determined <br /> � <br /> ; � Impact Fee Amount _$ �,(��2.v� Zone No. <br /> TAZ: <br /> —_ <br /> , SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ � �7� � <br /> (057) Mobile Home <br />' (058) Other Residential . � ' <br /> , � 123) Collection Fee � <br /> Exempt [� Yes Q No � How�Determined � ' <br /> i <br /> PARKS.AND RECREATION FEE ;� <br /> Land Account Land Credit Land Total <br /> i� ' � <br /> � Recreation Account Recreation Credit � <br /> �_ Recreation Total i <br /> � Zone TOTAL AMOUNT $ 7�g��. i <br /> Exempt � Yes � No How Determined ' - .• <br /> LIBRARY FEE ' <br /> Land Account Land Credit • � <br /> Land Total ; <br />, Facility Account __ Facility Credit � " <br /> Facility Total � <br /> Exempt � Yes � No How Determined Total Amount �_ <br /> RESOURCE FEE ' � <br /> TOTALAMOUNT ERU � <br /> i <br /> Prepared By � ° <br /> Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION ' <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE ' <br /> RECEIPTED FOR BY A CENTRAL PERMITT NG OFFICE OF PASCO COUNTY <br /> Acknowledgement below does not imply acceptance of concurrence,but slmply receipt of a copy of this form,placing <br /> the buflding permft owner on notice of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br />' RECEIPT NO. __ DATE �_ gY <br /> � . � , , I � <br />