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Flo <br /> PASCO COUNTY, FLORIDA <br /> Permlt.No. 2,0 t(o-5 <br /> Date Permitted _ -Z7-f 5 <br /> Builder Name/Owner Name ►��'� Control#' <br /> s County Parcel 100— DOCO-0860SubDiv: Pry l Oe4- <br /> Address/Location 3232. 1<res r-k>r-q kv— La k- <br /> Classificationrrype of Use -5l <br /> S TRANSPORTATION IMPACT FEE . Rate: Sq.Ft Unit: 00,8 <br /> l i Exempt ❑-Yes ❑ No How Determined <br /> t> Impactfee Amount $. �r �•L57� Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ 7i jn <br /> (057) Mobile Home <br /> (056) Other Residential <br /> f; 123) Collection Fee <br /> Exempt [] Yes [] No How Determined <br /> i <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ �lv <br /> Exempt ❑Yes ❑ No How Determined <br /> LIBRARY FEE <br /> Land Accounf Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes n 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 /> I; 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 recelpt 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 /> I <br /> ' I <br />