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PASCO COUNTY, FLORIDA <br /> Permit No. Z8 <br /> Date Permitted —2 4 <br /> Builder Name/Owner Name ­" Control# <br /> County Parcel No. _z�?b-Z��0(pp,�q�_ Z?c7 SubDiv: dt JCC <br /> G <br /> Address/Location _ 32(�S l�rr� �rdy <br /> Classification/Type of Us@ tY'cr <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2_7(p <br /> 'i <br /> `> Exempt El ❑ No How Determined <br /> 1 Impact Fee Amount $. ��(�3 2 00 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Famlly Detached House Amount $ 7E I la,z$ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt a 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 <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�—CJ <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 /> is <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply receipt of•a copy of this form,placing <br /> the building t,.. g permit owner on notice of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br /> i <br />