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PASCO COUNTY, FLORIDA <br /> Permit No. -Zd <br /> Date Permitted 9-4Z--M-- <br /> Builder Name/Owner Name kAACZ, -901,, - Control#' <br /> County Parcel No. SubDIv: t tzAdE&i <br /> r; <br /> Address/Location 3 2 q' C ve ��tlbl <br /> ` Classification/Type of Use Yt L <br /> l TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2, Z J <br /> 'E Exempt []Yes ❑ No How Determined <br /> S <br /> Impact Fee Amount $- y'r b 3 Zane Na. TAZ: <br /> y SCHOOL IMPACT FEE <br /> Account (056) Single-Family petached House Amount $ <br /> (057) Mobile Home �— <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt H 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 /> is Exempt ❑Yes ❑ No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> 1.` <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑ No How Determined Total Ampynt,�� <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 <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 /> c <br /> DATE RECEIVED BY <br /> r <br /> RECEIPT NO. DATE BY <br />