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PASD® COUNTY, FLORIDA <br /> Permit No. I <br /> Date Permitted r <br /> Builder Name/Owner Name lj�Apj& Get.✓ Control#- :r <br /> County Parcei No. 2. Z 6 Z6-bC)&o-� �Q3�a SubDiv: Ls�CUevL pC�,IR� <br /> Address/Location <br /> Classification/Type of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq"Ft Unit: _2= <br /> i <br /> Exempt ❑ Yes ❑ No How Determined" <br /> Impact Fee Amount $.3,632, t) Zone No. TAZ: <br /> SCHOOL IMPACT FEE / ? <br /> Account, (056) Single-Family Detached House Amount $ 7�P Zv <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 $ 7�?"c` 4 <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 /> RESOURCEFEE 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 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 />