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PASCO COUNTY, FLORIDA <br /> Permit No. ���' j <br /> Date Permitted Q--247740 <br /> Builder Name/Owner Name t+i&-v- 4MeS Control#' !. <br /> County parcel No, S4-7,(*—?A—()I Opt-_.tJ�O_(-(1D-L'S%SubDiv: L__cuPj s— <br /> Address/Location 2lc2s �4 'y»t�� <br /> t l <br /> Classificationtrype of Us@ <br /> TRANSPORTATION IMPACT FEE • Rate: Sq.Ft Unit: :3 <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $. .3, �32,. n Zone No. TAZ: <br /> SCHOOL IMPACT FEE q <br /> Account (056) Single-Family Detached House Amount $ r. <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 $ `Z {ixqt 5 <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`:5✓ <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 some. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />