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a <br /> PASDO COUNTY, FLORIDA <br /> Permit No. LTA <br /> Date Permitted /S—/8 . <br /> Builder Name/Owner Name Lo4y " l`�°, Control <br /> County Parcel No. -26 Z 1-by a u.oD6aa--(}3o subaiv: ` ve <br /> Address/Location 3 <br /> CtasstflcationlType of Use. al [ lU <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> w� Exempt [}Yes [:]..No How Determined <br /> Impact Fee Amount "S632-6_b Zone.No. TAZ: <br /> V SCHOOL IMPACT FEE p <br /> Account (056) Single-Family Detached House Amount $ j1Z?� <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 <br /> Exempt Yes. Q No How Determined <br /> LIBRARY FEE <br /> Land Account. Land Credit Land-Total <br /> Facility.Account Facility Credit Facility Total ' <br /> Exempt []Yes n,No How Determined Total Amounm <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 PERMITTING OFFICE OF PASCO COUNTY <br /> Acbowiedgement below:dogs not Imply acceptance of concurrence,but simpty.recelpt of a.copy of this form,.piactng <br /> the building.permit owner on notice of We assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO, DATE BY <br />