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i <br /> ! <br /> ' � � PASCO CtJUiVTY, FLORIDA <br /> .. ..� - i <br /> � <br /> Permit No. ,Q ,� ' <br /> Date Permitted <br /> Builder Name/Owner Name ��r S���dyyLecg C�it.�.. Control# <br /> County Parcel No. Q�L(�-2/,DD70-Ov7d0-0(z.p SubDiv: � e��p <br /> Address/Location c..3 d �p �`'r"c��.� fsVil ��tYi� <br /> Classification/Type of Use _���,� (e � ��� <br /> TRANSPORTATION IMPACT FEE . Rate: <br /> Sq Ft Unit: � Q <br /> Exempt � Yes [] No How Determined <br /> Impact Fee Amount $.` „ (03� Zone No. __ TqZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ �+, �76. ?�3 <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt Yes Q No How Determined <br /> PARKS AND RECREATION FEE <br /> I Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ 7(o f. � <br /> Exempt � Yes � No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt � Yes � No How Determined Total Amoun� <br /> RESOURCE FEE � ERU <br />� TOTALAMOUNT <br /> I <br />� <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 CENTRALEP RMI ITI'NG OFFICE.OF PASCO.COUNTY <br /> Acknowledgement below does not Imply accaptance of concurrence,but simply racelpt of a copy of this form,placing <br /> the building permlt owner on notice of this assessmerit and the conditions of payment for same. <br /> DATE <br /> RECEIVED BY <br /> RECEIPT N0. __ DATE �_ gY <br />