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PASCO COUNTY, FLORIDA <br /> Permit No, S3 <br /> / Date Permitted 2� <br /> Budder Name/Owner Name 1 n o_r�.9-f' t' Z Le. Control <br /> County ParcehNo. a a-�r-21 (�(i�0-DZ?�oO�D�b SubDIV: �r�.l�err t�� <br /> Address/Location {p o-.6 (}mac-c v. -tkA t____ <br /> ClassiPicationlType of Us$ yv 1,,- 4""v I� '! <br /> TRANSPORTATION IMPACT FEE Rate: Sq.FtUnit: �•�? <br /> Exempt []Yes ❑No How'Determined <br /> Impact Fee Amount $ �3,� 32-•GYD Zone No. TAZ. <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ 7� f • 0 t� <br /> S (057) Mobile.Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt d 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 $ <br /> Exempt []Yes 0 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 Amount Cam_ <br /> RESOURCE FEE ERU _ <br /> TOTALAMOUNT <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 <br /> Acknowledgement below does not imply acceptance of concurrence;but simply reoelpt of•a copy of this farm,placing . <br /> the building permit owner on notice of this assessment and the conditions of payment for some. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />