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PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted - 'f-2.3`1 <br /> Builder Name/Owner Name 4e AyiP-r-goe 1 Control# <br /> County Parcel No. 6$2e'2-I--Q& dCY0,04 OSubDiv: kyodb <br /> Address/Location <br /> Ciassification(rype of Use 1 t 1 <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2(37 <br /> Exempt Dyes []No How Determined <br /> Impact Fee Amount $. f Hsi,, Zone No. TAZ: <br /> CA <br /> Xr <br /> SCHOOL IMPACT FEE � � , <br /> Account (056) Single-Family7, <br /> Detached House Amount $ <br /> (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 $ t �1&54 <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 /> TOTALAMOUNT <br /> Prepared By U ~ 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 recelpt of-a copy+of this fonn,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 />