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41 <br /> 'PASCO COUNTY, FLORIDA <br /> Permit No, !q <br /> 6 11 _ <br /> Date Permitted _q-2-1 <br /> Builder Name/Owner Name kQAt,tl6in' pw�o Ua Control#' <br /> County Parcel No.Address/Location t�tJ D`U�a-�DC��Ol3IY��Su—b-Div: t tJ�YG�G(Z) <br /> �D <br /> i G <br /> i Classification/Type of Use C> <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2 8710 <br /> Exempt ❑Yes ❑ No f How Determined <br /> Impact Fee Amount,(t Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ _ / t Z�• D(� <br /> (057) Mobile Home <br /> (056) 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 $. +'�• c'rj,�, <br /> Exempt ❑Yes ❑ No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Fac!!!ty Credit Facility Total J <br /> Exempt ❑Yes ❑ No How Determined Total Amount �---�" <br /> RESOURCE FEE ERU j <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 /> 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 />