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PASCO COUNTY, FLORIDA <br /> Permit No. <br /> _ Date Permitted 3-24-fig <br /> Builder Name/Owner Name c Rm_ZY " -- Control#' . <br /> County Parcel No. 65 2 -2_(_1 050--()o6(2 7 - 02-T 0 SubDiv: Ue'Jo _ <br /> r, Address/Location 405 t <br /> i, <br /> Classification/Type of Use z 2 3 <br /> r• <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: Z 2 t3 <br /> G. - <br /> Exempt [].Yes ❑ No How Determined <br /> Impact Fee Amounts. 31 &32, Zone No. TAM <br /> C y" <br /> SCHOOL IMPACT FEE j <br /> r? Account (056) Single-Family Detached House Amount $ _ , 6 Z , 26 <br /> r;._. (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 $ (Pj�, <br /> Exempt ❑Yes ❑ No How Determined <br /> LIBRARY FEE <br /> i` Land Account Land Credit Land Total <br /> 5,. . Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑No How Determined Total Amour <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 /> r. BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE•OF PASCO COUNTY <br /> f` <br /> .< Acknowledgement below does not Imply acceptance of concurrence,but simply receipt of•a copy of this form,placing <br /> the bullding permit owner on notice of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />