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' ,' PASCO COUNTY, �FLORIDA <br /> . ..� <br /> : <br /> � Permit No. � <br /> ! <br /> Date Perrnitted _ g_Z9 l7 <br /> Builder Name/Owner Name ��,v��,. ��� � <br /> , Control# <br /> County Parcel No, Q�_��(�Z���� � � <br />� � 6�� SubDiv: � <br /> Address/Location ��Od�p ��� �I � , <br /> I, <br /> - Classiflcat(onlfype of Use ��yt c � <br /> ; TRANSPORTATION IMPACT FEE . Rate: <br /> Sq.Ft Unit: Z.� 7 7 <br /> Exempt [� Yes � No How Determined <br /> ' � Impact Fee Amount $3,� �� • <br /> Zone No. — T�: <br /> SCHOOL IMPACT FEE �— <br /> � Account (056) Single-Family Detached House <br /> , (057) Mobile Home Amount $ �,�?�� �o <br /> (058) Other Resfdential <br /> �123) Collection Fee <br /> Exempt Yes � No How Determined <br /> PARKS AND RECREATION FEE <br /> � Land Account Land Credit <br /> Land Total <br /> � <br /> � Recreation Account <br /> , —_� Recreation Credit __�Recreation Total <br /> Zone � <br /> -- TOTAL AMOUNT $ ��9, �'� <br /> Exempt � Yes � No How Determined � <br /> LIBRARY FEE <br /> - Land Account Land Credit <br /> Land Total <br /> Facility Account �_ Facility Credit ' <br /> Facility Total <br /> � Exempt �] Yes [] No How Determined � I <br /> � __ Total Amou <br /> RESOURCE FEE <br /> TOTALAMOUNT ERU <br /> � Prepared By <br /> 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 CENTRAL P RMITi'NG OFFICE OF PqSCO COUNTY <br /> Acknowledgement below does not Impiy acceptance of concurcence,but simply recelpt of a copy of this form,placing <br /> the bullding permit owner on noQce of this assessment and ths conditlons of payment for same. <br /> RATE <br /> RECEIVED BY <br /> RECEIPT NO. — pATE � <br /> �_ BY i <br />