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PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted <br /> Builder Name/Owner Name 12,nne,_ I-t-h4e 14Ci Control#' 1 _A <br /> County Par..cel No. dS Z�—2 (_6()Ao-j)Dy D,& 3a SubDiv: �� 1 WaA6 O&W—k <br /> AddresslLocation 3,sq( 7 3wdd'e Alm -y <br /> Classiflcationrrype of Use ;S'n�a I e I% a <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 3, 23 <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $ .31 �o1 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ 7j Q& Zg <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt d Yes Q 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 $ O[-5 4�' <br /> Exempt ❑Yes ❑ No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility.Account Facility Credit Facility Total I <br /> Exempt ❑ Yes ❑ No How Determined Total Amount `tom <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 /> I <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply recelpt 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 /> . I <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />