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`= P'ASCO COUNTY, FLORIDA <br /> Permit No. IJ3 <br /> Date Permitted -Z- <br /> Builder Name/Owner Name �o rn.v+e::c � S Z �°, Control#' . <br /> County Parcel No. ()a'-2(o- 1-6C6o.00(xoo 608a SubDIV: <br /> Address/Location 06 U tL <br /> Classification/Type of Use Si L2 ,G <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: d <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount 00 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Famlly Detached House Amount $ Z� 1 2-6 • U b <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 $ Zby_�rj"(� <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 Amount <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> j <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 /> the building permit owner on notice of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />