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i <br /> -COUNTY, FLORIDA <br /> IPASCO <br /> Permit No. .0-3 <br /> Date Permitted —( <br /> Builder Name/Owner Name L-t=-`t,vy_r- 'e S LL C Control# <br /> County Parcel No. q-4-24-6106--060_0� 6,1 f-3© SubDiv: rGteA JVc r <br /> Address/Location w_S`�•erCCJ k2 <br /> Classification/Type of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: �� d <br /> Exempt ❑Yes ❑ No /r How Determined <br /> Impact Fee Amount $. 3,b 2-' Zone No. TAZ: <br /> .SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ 74 (9q <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 $ 70-6k <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 Amounf=9)__ <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 /> 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 />