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� � � PASCO C4UNTY, FLORIDA <br /> Permit No. ����Z <br /> Date Permitted <br /> , Builder Name/Owner Name ! Control# <br /> . County Parcel No, p 2-�Z/_D�pa•—Od�� d?�B SubDiv: �,���Wd�� <br /> Address/Location (p ?g J � e�yv p�jQl � ;rn la � <br /> Classi�cation/Type of Use �;,n�sp <br /> TRAN�PORTATION IMPACT FEE Rate: � <br /> , Sq Ft Unit: -�9 <br /> Exempt � Yes � No How Determined <br /> ' � Impact Fee Amount $ , `��O•�� Zone No. <br /> , TAZ: <br /> ! SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ _ i� <br /> (057) Mobile Home <br /> . (058) Other Residential . <br /> , - 123) Collection Fee <br /> , Exempt [� Yes [� No � How�Determined <br /> ; <br />, PARKS AND RECREATION FEE � <br /> ' Land Account Land Credit Land Total <br /> � Recreation Account Recreation Credit Recreation Total I <br /> , - Zone TOTAL AMOUNT $ ?(Q f 6(� ' <br /> � Exempt � Yes � No How Determined � <br /> LIBRARY FEE I <br /> i Land Account Land Credit Land Total ' <br /> ; Facility Account __ Facility Credit Facility Total <br /> � Exempt � Yes � No How Determined __ Total Amount �i <br /> RESOURCE FEE ERU <br /> - TOTALAMOUNT <br /> t Prepared By 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 P RMIT7'NG OFFICE OF PASCO COUNTY <br /> Acknowledgemant below does not Imply acceptance of concurrence,but simply recelpt of a copy of this form,placing <br /> the building permit owner on notice of this assessment and thQ conditions of payment for same. <br /> DATE <br /> RECEIVED BY <br /> RECEIPT NO. �_ DATE gY <br /> __�_,n�___,_- _��.��_-�__._�e.._._-r__-�,.....�.. _._- - s._.e_� <br />