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' I <br /> . , •' ' I <br /> I <br /> PA�CO COUNTY, FLORIDA I <br /> � � � <br /> � .. . I <br />, � - Permit No. 1 � �� � <br /> Date Permi _ <br /> tted <br /> � — l <br />, '7 /9 7 <br /> Builder Name/Owner Name Q ���L�; ��a <br /> Control# <br /> County Parcel No. �5-2(�- Z(_ y� I <br /> ��— DO�Ot?--p330 SubDiv: �(��nK�- �y,g, <br /> Address/Location 3'T rf3R P�a,��� �� p <br /> Classification/Type of Use �G'u�(�h�r�,� <br /> TRANSPORTATION IMPACT FEE Rate: <br /> Sq.Ft Unit: 'J,� <br /> Exempt [] Yes [] No How Determined � <br /> Impact Fee Amount $. �, (0 3�, Zone No. <br /> __ TAZ: <br /> SCMOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount � <br /> (057) Mobile Home $ �, <br /> (058) Other Resfdential <br /> 123) Collection Fee � <br /> Exempt [� Yes � No How Determined � <br /> I <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total � <br /> Recreation Account __ Recreation Credit � <br /> Recreation Total __ ; <br /> Zone TOTAL AMOUNT $ _5 , <br /> � R � <br /> Exempt � Yes No Ho ; <br /> ❑ w 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 __ ToEal Amount � ' <br /> RESOURCE FEE ERU � <br /> TOTALAMOUNT � <br /> I <br /> � i <br /> 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 q CEN7RAL P RMIT1'NG OFFICE OF PASCO COUNTY <br /> Acknowledgement below does not imply acceptance of concurrence,but simply receipt of a copy of this form,placing <br /> the building permit owne�on notice of this assessment and the conditions of payment for same. <br /> DATE <br /> RECEIVED BY , <br /> RECEIPT NO. __ pATE ___ BY <br /> - j <br /> � . .. i <br /> . .. � I <br /> --- I <br /> I <br /> -- - � <br />