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PASCO COUNTY FLORIDA <br /> "- Permit Nd. <br /> Date Permitted 3--< <br /> Builder Name/Owner-Name l .- Control#.' <br /> County Parcel No. (9 2(0- �"�tt7-O dlv0�-Urle 8uiapiv: L}Jrx {� <br /> AddresslLocation 7 ZA)q al L.Sr <br /> f <br /> Classiflcationrrype of Use Z.� _ e <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: Z�— <br /> Exempt Q+Yes ❑No How Determined <br /> impact Fee Amount $. 3i Viz' Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ <br /> (057) Mobile Nome <br /> (05$) Other Residential <br /> 123) Collection Fee <br /> Exempt Yes D..ft 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 $ 70-' c% <br /> Exempt Yes n 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 /> 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•-CENTRAL PERMITTING OFFICE-OF PASCO COUNTY <br /> Acimowledgemsrit below does not Imply acceptance,of conrurence,.but simply receipt of-a copy of this forth,placing l <br /> the bullding permit owner on notice of this.assessment and the ccndltions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />