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PASCO COUNTY, FLORIDA <br /> Permit No. 2 0 <br /> Date Permitted — g <br /> Builder Name/Owner Name ,yt r Control#' <br /> f County Parcel No. bD�Q(�Q ,Dw&ubDiv: <br /> l , <br /> Address/Location 3 04 q- MA(416LP1l 'l;)[16-0 CDC <br /> �i Classification/Type of Use 1 5 <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: bv_61 <br /> i Exempt ❑Yes ❑ No How Determined <br /> I.`ry Impact Fee Amount $. 3,G 32. OD zone No. TAZ: <br /> # SCHOOL.IMPACT FEE �pp�� <br /> Account (056) Single-Family Detached House Amount $ �-p <br /> (057) Mobile Home <br /> is (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 Recreatio <br /> n <br /> Total <br /> Zone TOTAL AMOUNT $ l 69, 56 <br /> Exempt ❑Yes ❑ No How Determined <br /> i' <br /> LIBRARY FEE <br /> _.' Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> r'- Y tY tY <br /> Exempt ❑Yes ❑ No How Determined Total Amount—' <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By O Checked By <br /> r <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE " <br /> Y.. BEEN PAID AND <br /> P' RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY <br /> r. Acknowledgement below does not imply acceptance of concurrence,but simply.receipt of•a copy of thla 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 />