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PASCO COUNTY, FLORIDA <br /> Permit No. 2—0 M <br /> Date Permitted l 5—! <br /> Builder Name/Owner Name "vt o_�- _ _ ne.,A !_ Control#' <br /> County Parcel No. 0�_ _2 f_IS(�°t�-�(X�SC)O—I)/ Vo SubDiv: S)1 VP raL10 <br /> Address/Location 81 dal w9- <br /> Classification/Type of Use �4Vkq le 3 23Z 3 7 Z <br /> TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: 3,Z3z <br /> Exempt [] Yes ❑ No How Determined <br /> Impact Fee Amount $. ,(032.6t� Zone No. TAZ: <br /> SCHOOL IMPACT FEE p <br /> Account (056) Single-Family Detached House Amount $ 74 �9 <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123 Collection Fee <br /> Exempt F�Yes ❑No How Determined <br /> PARKS AND RECREATION FEE <br /> i <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ 7 <br /> Exempt ❑Yes ❑ No How Determined <br /> I <br /> j LIBRARY FEE <br /> iLand Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑ Yes [:] No How Determined Total Amoun <br /> i <br /> RESOURCE FEE ERU <br /> j TOTAL AMOUNT <br /> Prepared By Checked By <br /> 0. <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 />