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P�SCO C�IJI��'lf', �FL�RIDA <br /> Permit No. ���_ <br /> Date Permitted ��--�� � <br /> Builder Name/Owner Name �.x°�(�t�C��� j� Control#~ I, <br /> County Parcel No, �S�?�?l p��� ������(�� SubDiv: �1 ,U I <br /> AddresslLocation �C.sp� ���� �f�,e,� ; <br /> Classificatlon/Type of Use �'j`y� l <br /> TRANSPORTATION IMPACT FE � Rate: ' <br /> Sq.Ft Unit: 3, �� � <br /> Exempt � Yes �] No How Determined `— � <br /> � Impact Fee Amount $.3i(�3 y , Zone No. � <br /> __ TAZ: <br /> SCHOOL IMPACT FEE , <br /> Account (056) Single-Family Detached House Amount $ �, <br /> (057) Mobile Home �76• � <br /> (058) Other Resldential <br /> 123) Collection Fee <br /> Exempt Yes � No How Determfned <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit <br /> Land Total <br /> Recreation Account Recreation Credit <br /> ___ Recreation Total <br /> Zone TOTAL AMOUNT <br /> $ 7�p�,6 <br /> Exempt � Yes � No How Determfned � <br /> LIBRqRY FEE � <br /> Land Account � <br /> Land Credit Land Totai i <br /> Facility Account �_ Facility Credit � � <br /> Facility Total j <br /> Exem t � <br /> P ❑ Yes � No How Determined __ Total Amount � ' <br /> RESOURCE FEE <br /> TOTALAMOUNT ERU 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 A CENT A�LEP RMITI'NG OFFICE OF PASCO COUNTY � <br /> I <br /> � <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply recelpt of a copy of this form,placing ' <br /> the building permft owner on notice of thls assessment and tha co�ditlons of payment for same. <br /> I <br /> , <br /> DATE � <br /> RECEIVED BY ' <br /> RECEIPT NO. __ pATE <br /> _____ BY <br />