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PASCO COUNTY, FLORIDA <br /> r <br /> Permit No. ,_6 4t 0 <br /> Date Permitted _/n-2 <br /> Builder Name/Owner Name Wt wr<a�✓ trl'nS�.a< Control# <br /> County Parce!No. ?_4-2-4-2.(,6(Ott--60LW-09 f t) SubDiv: 1 GIIdPn <br /> Address/Location ZZcM beg J,J pk La, <br /> Classification/Type of Use i/1�i k--7 T,k <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2, kV7 <br /> Exempt [] Yes ❑ No How Determined <br /> Impact Fee Amount $..37 jz.(}� Zone No. TAZ: <br /> SCHOOL IMPACT FEE qq Z$ <br /> Account (056) Single-Family Detached House Amount $ �, � ! t, <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 /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑ Yes ❑ No How Determined Total Amounen f ` <br /> RESOURCEFEE ERU <br /> TOTAL AMOUNT <br /> Prepared By �° �I^{'�— 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 />