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PASCO COUNTY, FLORIDA <br /> Permit No. 1619 <br /> Date Permitted 7-73 <br /> Builder Name/Owner Name /7UWt Q' Control#' <br /> County Parcel No. L`Z -��- 100,015WO-OL'�1_6 SubDiv: n Ae j <br /> r` 3(� z <br /> ,? Address/Location <br /> <. Classification/Type of Use 61,Y1 <br /> TRANSPORTATION IMPACT FEE Rate: Sq.R Unit: <br /> ' Exempt ❑Yes- ❑ No How Determined <br /> t, Impact Fee Amount $. c31 6 c32 Zone No. TAZ: <br /> SCHOOL IMPACT FEE —7 <br /> Account (056) Single-Family Detached House Amount $ _��, <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 $ C 7 6 9� <br /> u' 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 /> 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 j <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE-OF PASCO COUNTY j <br /> i <br /> I <br /> Acknowledgement below does not Imply acceptance of concurrence,-but simply receipt of a copy of this form,placl l g <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 />