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PASCO COUNTY, FLORIDA <br /> Permit No, d <br /> date Permitted <br /> Buiider Name/Owner Name .to-Arla-+r f"es 41c'Control# <br /> County Parcel No. 0,�-2-{ -2-(- i2(;80 -C O&w.o3y6 SubDiv: . &� <br /> 6'" <br /> Address/Location �6z t[ <br /> Classification/Type of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑Yes ❑ No How Determined <br /> i Impact Fee Amount $31 b 32 - Zone No. TAZ: <br /> 3 SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ '7� If 2-6• 00 <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 923) 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 $ 7�::/• , <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 Amowg'� " <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 A CENTRAL PERMITTIN©OFFICE.OF PASCO COUNTY <br /> • I <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 thQ conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />