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PASCO COUNTY, FLORIDA <br /> Permit No. . Zo 5Z0 <br /> Date Permitted /2- z- <br /> Builder Name/Owner Name Control#' <br /> County Parcel No. 0 5 2fP�2- b 00-61100-0 1110 SubDiv: Uerah _ <br /> Address/Location 0_ 4 c5T— <br /> � <br /> ClassificationlType of Use le Vtn, 13(,Z <br /> TRANSPORTATION IMPACT F E Rate: Sq.Ft Unit: 2r3 Z <br /> Exempt ❑Yes ❑ No ow Determined <br /> Impact Fee Amount $. Z,6b Zone No. TAM <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Faml y Detached House Amount $ 7 , (4�� <br /> (057) Mobile Hoff e <br /> (058) Other Resicential <br /> 123) Collection epee <br /> Exempt �Yes ❑No How Determined <br /> PARKS AND RECREATION F E <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ 7647.5k <br /> Exempt ❑Yes ❑ No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total Exempt E] Yes E] No How Determined Total Amount-- � <br /> & <br /> RESOURCEFEE ERU <br /> TOTAL AMOUNT <br /> Prepared By 2i-- 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 I mply acceptance of concurrence,but simply receipt of a copy of this form,placing <br /> the building permit owns on notice of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />