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.,. <br /> {PASCO COUNTY, FLORIDA <br /> " Permit No. <br /> f Date Permitted <br /> Builder Name/Owner Name �a? r- �T�r" S LIL C-- Control# <br /> County Parcel No.75—a(e-Z�—© 60 ( Q-1 S%SubDiv: lei o(de", <br /> Address/Location _Z1 T/ Ad Q(de-°i M l/ cb.*'" <br /> Classification/Type of Use t,�-Q ff- Aim"(C/ 2, 2-74 G� V 6— <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑ Yes ❑ No How Determined <br /> Impact Fee Amount " $. 31 �?2. ( Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ 714 <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 tt <br /> Zone TOTAL AMOUNT $� ,Sto <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 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 />