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; � . <br /> : PASCO COUNTY, FLORIDA <br /> Permit No. �q <br /> Date Permitted p,�_ <br /> Builder Name/Owner Name �2/lnar- y 1„��.���'.. <br /> Control# <br /> County Parcel No. �S-Z�-� p p7o ����r���� , <br /> SubDiv: <br /> • Address/Location �(� ��� �/�� � <br /> ��. <br /> Class(flcatioNType of Use �'j yla je .�_=� �� <br /> TRANSPORTATION IMPACT FEE '' � <br /> Rate: Sq.Ft Unit: S� <br /> Exempt [] Yes [] No How Determined <br /> � Impact Fee Amount $_ �� ��j Z, <br /> Zone No. - T�: <br /> , SCHOOL IMPACT FEE � <br /> Account (056) Single-Family Detached House <br /> (057) Mobile Home Amount $ �L, � ��_ Z� <br /> (058) Other Residential <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 <br /> __ Recreation Credit <br /> __ Recreation Total � <br /> Zone <br /> -- TOTAL AMOUNT $ 7���/ <br /> Exempt �Yes [] No How Determined � <br /> LIBRpRy FEE <br /> Land Account Land Credit <br /> Land Total <br /> Facility Account �_ Facility Credit ' <br /> Facility Total <br /> Exempt � Yes [] No How Determined <br /> _� Total Amount �_ <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 RMI I'IT NG OFFICE.OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply recelpt of a copy of this form,placing <br /> the bullding permit owner on noUce of this assessment and thQ condltions of payment for same. <br /> QATE <br /> RECEIVED BY <br /> RECEIPT NO. �_ pATE <br /> _� BY <br /> � � • . .. <br /> r <br />