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PASCO COUNTY, FLORIDA. <br /> Permit No. ^Q-3 <br /> 1/ Date Permitted <br /> �fir' ( � <br /> Builder Name/Owner Name �-3 LL. C Control W j p J �7 <br /> County Parcel No, t���P-V--11100-.0o6 �. t a0 SubDiv:. t�i�tGc°ut f�tt r� <br /> Address/Location <br /> Classification/Type of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft-Unit: 5 T <br /> Exempt ❑Yes [] No !! How Determined <br /> Impact Fee Amount $.. 3,�a 3-2-1 Zone No. TAz: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount 2 <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 Recreati70.6kon Total <br /> Zone TOTAL AMOUNT $ <br /> Exempt []Yes ❑ No How Determined <br /> LIBRARY FEE <br /> Land Accounf Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑No How Determined Total Amounf <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:PAIMAND <br /> RECEIPTED FOR BY A{CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply receipt ofa copy of this form,placing <br /> the building permit owner on notice of this assessment and tha conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />