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t <br /> PASCO: COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted <br /> Builder Name/Owner Name Lp n -Control#' ' <br /> Count Parcel No. I5 Z6—Z(-�b ZGO— � <br /> Y � � SubDiv: <br /> t' 3 791 -. IrtuY�2 Rase LP L?`Address/Location <br /> Classiticationrrype of Use `rfU n <br /> 4; TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount / Zone No. TAZ:$. ��i�� <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ <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 $ 76 q-v,(, <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 Amou <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL.BE ISSUED OR FINAL INSPECTION <br /> n: <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> t. 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. I <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br /> i <br />