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a <br /> . � PASCO COUNTY, FLORlDiA <br /> Permit No. ��j�_�� <br /> �� �ate Permitted y,� y��7 <br /> Builder Name/Owner Name <br /> — ���(� Control# <br /> County Parcel No. 6`f�Z/-0p 7o.-15C)IG1U-1332c� <br /> SubDiv: �r��,��� <br /> Address/Location �3�6�3 ��!(,e ��� �.� <br /> Ciassification/Type of Use c�� <br /> � �e s-���� �'� <br /> TRANSPORTATION IMPACT FEE �, Rate: <br /> Sq.Ft Unit: <br /> Exempt � Yes � No How Determined <br /> � Impact Fee Amount �,�,2 Zone No. <br /> .__ TAZ; <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ �j�, �76,� <br /> (057) Mobile Home <br /> (058) Other Residentiai <br /> 123) Collection Fee <br /> Exempt Yes � No How Determined <br /> PARKS AND RECREATION FEE <br /> `Land Account Land Credit <br /> Land Total <br /> Recreation Account � Recreation Credit <br /> Recreation Total <br /> Zone �- <br /> � TOTAL AMOUNT $ �(o�•�� <br /> Exempt � Yes � No How Determined <br /> LIBRqRY FEE <br /> Land Account Land Credit <br /> Land Total <br /> Facility Account �_ Facility Credit � <br /> Facility Total <br /> Exempt � Yes � No How Determined <br /> ___ Total Amount �� <br /> RESOURCE FEE �-- <br /> TOTALAMOUNT ERU <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 A CENT AEEP RM'IT1'WG OFFICE OF PqSCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply recelpt of a copy of this fortn,placing <br /> the building permit owner on notice of this assessment and thQ conditlons of payment for same. <br /> DATE <br /> RECEIVED BY <br /> RECEIPT NO. _� pATE <br /> __ BY <br /> � <br />