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/ r <br /> rl <br /> RASDO C, TY, FLORIDA <br /> Permit No. t j `orb <br /> Date Permitted <br /> Builder Name/Owner Name 41 MIZA_- �o'ftAll,Control#' <br /> County Parcei No. 2-z( y�,(i3D1� -hill i)b� 3 SubDiv: r, 7 � <br /> Address/Location <br /> ClassificationlType of Use le'la& - 4 �a <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 1100- <br /> Exempt ❑Yes [] No j How <br /> w Determined <br /> Impact Fee Amount $. Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt ( Yes ❑ No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ 7 �� <br /> Exempt ❑Yes ❑ No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑ Yes [] No How Determined Total Amounc- <br /> 6-7 <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <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 /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY i <br /> i <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply receipt of a copy of this form,placing <br /> the building permit owner on notice of this assessment and the conditions of payment for same. <br /> y <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br /> ' F <br />