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/ <br /> I <br /> ' PASCO COUN1'Y; FLORIDA � <br /> Permit No. ��c�'� <br /> Date Permitted <br /> Builder Name/Owner Name ��t�Q�–��e,p � <br /> Control# <br /> County Parcel No. ���Z,�QO7U_/�0�--��p SubDiv: � ��, d <br /> Address/Location (pJr6 ���UQ�g�� �,�C� ���� <br /> Classification/Type of Use v/�'I � ��y�,� <br /> TRANSPORTATION IMPACT FEE . Rate: <br /> Sq.Ft Unit: �Jr <br /> • Exempt [] Yes � No How Determfned <br /> Impact Fee Amount $ ,�i� .z.� Zone No. • <br /> — __ TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount <br /> (057) Mobile Home $ � 7� • <br /> (058) Other Residential <br /> ' 123) Collection Fee <br /> Exempt b Yes Q No � How�Determined <br /> PARKS AND RECREATION FE� � <br /> Land Account Land Credit � <br /> �Land Total <br /> � Recreation Account Recreation Credit � <br /> � Recreation Total ' <br /> • Zone TOTAL AMOUNT $ 71p f'l'.�5�� <br /> __ • <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 i <br /> Exempt � Yes � No How Determined - <br /> Total Amount <br /> RESOURCE FEE - <br /> - TOTAL-AMOUNT • ERU _ <br /> Prepared By � _ Checkgd By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION � <br /> PERFORMED UNTIL THE TOTAL AMpUNTS LISTED HAVE <br /> RECEIPTED FOR BY�4 CENTRAL P RMITT NG OFFICE OF PASCO COUNTY �I <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply recelpt of a copy of this form, lacing <br /> the building permit owner on notice of this assessment and thQ cond(dons of payment for same. <br /> I <br /> DATE � <br /> RECEIVED BY <br /> RECEIPT NO. _� pATE �_j gY I <br /> i ' <br />