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-.�:� — - - _ -- - - - <br /> PASCO COUNTI(, �FLORIDA <br /> Permit No; • �� i <br /> Date Permftted �Z// ' <br /> Builder Name/Owner Name P� U�Control# <br /> County Parcel No, drf-�Z(—,Z.�..(Xj7o���p�..,� SubDiv: c�iT <br /> Address/Location _ ��017 a'���J��e�� <br /> ClassiflcationlType of Use �ihA�� ���C� <br /> , <br /> TRANSPORTATION IMPACT FEE , Rate: Sq.Ft Unit: 2�.3?_ (_ <br /> Exempt � Yes � No How Determined <br /> � Impact Fee Amount _$.,3i�O�Z Zone No. <br /> TAZ: �_ <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount �,( <br /> (057) Mobile Home � --L� � 7�' Z(� <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 � —� <br /> -- TOTALAMOUNT $ �(09_��� <br /> Exempt � Yes � No How Determ(ned <br /> LIBRqRY FEE <br /> Land Account Land Credit <br /> Land Tptal <br /> Facility Account ____ Facility Credit � <br /> Facility 7otal <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 ALEP RMIT1'NG OFFICE OF PASCO COUNTY <br /> Acknowledgement below does not Imply accaptance of concurrence,but simply recelpt of a copy of this form,placing <br /> the bullding permit owner on notice of thls assessment and thQ conditlons of payment for same. <br /> DATE <br /> RECEIVED BY <br /> RECEIPT N0. ___ pATE __ gY <br /> � <br />