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� � PASCO COUNTY, F ' <br /> LORIDA <br /> Jl . Permit No. �` � <br /> Date Permitted –� <br /> Builder Name/Owner Name �n��P�.B Control# � <br /> County Parcel No. Q�1�Z/_bj17p p�j/� �d(> SubDiv; S, �ye/z�d I <br /> Address/Location ��Q�� ���,e �1,,C,��`��i C�"f�"�. <br /> r <br /> Classification/Type of Use �` IP�� ��,���� <br /> � , <br /> TRANSPORTATION IMPACT FE • Rate: ' <br /> Sq.Ft Unit: 2�_ i <br /> Exempt � Yes � No How Determined <br /> Impact Fee Amount $. �, �32-• Zone No. � i <br /> — .�_ TAZ: � <br /> �_ � <br /> SCHOOL IMPACT FEE I <br /> Account (056) Single-Family Detached House Amount $ ��� 7�p� z,�j <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 Land Total <br /> Recreation Account � Recreation Credit � <br /> Recreation Total i <br /> Zone TOTAL AMOUNT $ 7(Q �'. ��, , <br /> Exempt � Yes [] No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit 'i <br /> Land Total , <br /> Facility Account __ Facility Credit I� <br /> Facility Total <br /> Exempt � Yes � No How Determined <br /> � Total Amount '�/ _ <br /> RESOURCEFEE ERU <br /> TOTALAMOUNT '� <br /> i <br /> i <br /> Prepared By Checked By <br /> � <br /> � <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUN7S LISTED HAVE I <br /> RECEIPTED FOR BY A CENT ALEP RMI I'IT NG OFFICE OF PASCO COUNTY I <br />� � <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply recelpt of a copy of this form,placing <br /> the bu(Iding pertnit owner on notice of this assessment and the conditions of payment for same. ' <br /> DATE <br /> RECEIVED BY <br /> RECEIPT NO. __ pATE ___ gY <br /> • . .. i <br />