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ii <br /> PASCO COUNTY, FLORIDA <br /> Permit No. 20 46-Z <br /> ,r Date Permitted GQ-29-LI <br /> Builder Name/Owner Name hA r tl&v-, S &, Control# <br /> County Parcel No. 2-q-2-16-2-t- 0 tOO^00000-0190 SubDiv: 44441 &W <br /> Address/Location -IS9 c5 R t J)a-Lv S0-, ( I:_65w <br /> Classification/Type of Use Si nx It -t Q rrr:l�f y 0 D� fs"� <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: ©O�' <br /> Exempt ❑ Yes ❑ No How Determined <br /> Impact Fee Amount $.3 t�32 00 Zone No. TAZ: <br /> SCHOOL IMPACT FEE Account (056) Single-Famlly Detached House Amount $ 71 I 1Q <br /> 1 2$ <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 $ '7(¢�.5b <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 Amount <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By -k ` 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 />