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j PASCO COUNTY, FLORIDA <br /> Permit No. R,0z <br /> Date Permitted L- <br /> Builder Name/Owner Name �h +r �7lJyYla Uf. Control#' ' <br /> County Parcel No. -2-t—COPjO- d(m-o ll b SubDiv: 3� C� <br /> f F Address/Location &S t5 2- <br /> ClassiticationlType of Use 3) j <br /> t . <br /> ( TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: Z Z7 <br /> (- Exempt ❑Yes ❑ No How Determined <br /> ft Impact Fee Amount /(o3Z• btu Zone No. TAZ: <br /> SCHOOL IMPACT FEE --7 <br /> Account (056) Single-Family Detached House Amount $ L f [Z�• <br /> :`. (057) Mobile Home <br /> ;'. (058) Other Residential <br /> 123) Collection Fee <br /> Exempt _[ Yes Q 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 Amoun <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> I <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 <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply receipt of a copy of this form,placing . <br /> l: <br /> the building permit owner on notice of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> r RECEIPT NO. DATE BY <br />