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,. <br /> - � � : PASCO COUNTY, FLORIDA <br /> '. . , Permit No. � � <br /> ' Date Permifted -2. _ -� <br /> � Builder NamelOwner Name �'.r2-w�.Lt-r ITdmes �.� Contrai# <br /> Ii � Gounry Parcel No. '2�~2-�2-�-fl(�rzp—l�D�,�?t�—62gb SubDiv: 2��dest.l�l�r�� <br /> � AddresslLocation �.2-�3 �I1G{.t�e.t ��f dt.c.� �t�_ <br /> Classificatlonfi'ype of Use �,���,�,�7 T�& i��� <br /> TRANSPORTATiON IMPACT FEE • Rete: Sq Ft Unit: Zi3 7(o � <br /> Exempt �Yes (� No How Determined <br /> � impact Fee Amount $.31 (�32 Zone No. TAZ: <br /> , SCHOOL tMPAC7 FEE <br /> Account (056) Single-Family Datached House Amount .$ �,�7�,. 2� <br /> {057} Mobile Home � <br /> , (Q58) Other Residentiai <br /> � '!23) Collection Fee <br /> �. . Exempt [t]Yes ❑ No How Determ(ned <br /> PARK3 AND R�GR�lr►TION FEE � <br /> Land Account Land Credit Land Totat � <br /> t Recreation Account Recreation Credit •Reereation Tota! � <br /> , Zone TOTAl.AMOUNT $ 1�G� cS� <br /> � Exempt �Yes [] No How Determined <br /> LIBRARY FEE <br /> �and Accaunt Land Credit Land Total <br /> Fac�lity Accaunt Faci(lty Credit Facility Total <br /> � Exempt ❑Yes ❑ No How Determined Tatal Amount �.�---� <br /> RESOURCE FEE ERU <br /> ' TO'fAL AMOUN7 <br /> , <br /> � Prepared By -' , Checked By � <br /> � <br /> ' NO CERTiFICATE C?F OCCUPANCY WILL BE ISSUED OR FlNAL INSFEGTION � <br /> � PERFORMED tlNTIL THE TC?TAL AMOUNTS LISTED HAVE ' <br /> BEEN PAID AND � <br /> I3ECEIPTED FCfR BY A CENTF2At PERMITTINCi OFFtCE OF PASCO COI.INTY <br /> Acknowledgemant below does not impiy accaptanca of coneurrence,but simply recalpt of a copy af this form,piacing '� <br /> � the buflding pecmit owner an no8ce of this sssessment and ihQ conditlons of payment for same. <br /> �. C�ATE REGEIVED BY <br /> � RECEIPT NO. DATE BY <br /> , <br /> �_Y__r,.�---=--�--- -_-_ ��-� <br /> � <br />