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PASCO COUNTY, FLORIDA <br /> Permit No. -2-61 <br /> 617 <br /> -. Date Permitted <br /> Builder Name/Owner Name t4?�,vi&,r qkv) . LA(b Control# <br /> County Parcel No. ?.?' — -- b(D(�—bDc�Q— D�/ ?SubDIv: U,�dO&AZ ei-- <br /> `s <br /> Address/Location l(iL I DIGt� <br /> Classification/Type of Use skrA le— <br /> TRANSPORTATIONi IMPACT FEE Rate: Sq.Ft Unit: 2, 27 <br /> Exempt ❑'Yes ❑ No How Determined <br /> ,A Impact Fee Amount $_�,(2� <br /> Zone No. TAZ: <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 $ <br /> Exempt ❑Yes ❑ No How Determined <br /> LIBRARY FEE <br /> s- Land Account Land Credit - Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑ Yes ❑ No How Determined Total Atnou <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By •,W 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 /> 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. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY " <br /> ' i' <br />