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PASCO COUNTY, FLORIDA <br /> Permit No. U/ <br /> Date Permitted Z— — <br /> Builder Name/Owner Name .I r{l�(j, Control#' <br /> County Parcel No. IS-2-IP—2- — --60 Qt) 20Sub XV: <br /> r Address/Location -7-77_9 �'f' r'ri 7e <br /> ,;-.;, 4r•• ClassificatlonfType of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit <br /> Exempt '❑Yes ❑ No How Determined <br /> Impact Fee Amount $. -�1 itt2` Zone No. TAZ: <br /> i�; x•r <br /> SCHOOL IMPACT FEE <br /> Account (6561 Single-Family Detached House Amount <br /> (057) Mobile Home <br /> (0513) Other Residential <br /> = 123) Collection Fee <br /> w_ 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 $ ! 6 2-c�40 <br /> Exempt ❑Yes ❑ No How Determined <br /> LIBRARY FEE <br /> `j Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑ No How Determined Total Amoui* <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 TOTAI.AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE-OF PASCO COUNTY <br /> j !z <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 /> is <br /> r - <br /> ` 4" <br /> i.; 4_. DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />