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PASCO COUNTY, FLORIDA <br /> Permit No. 2- 2 -5 7 <br /> Date Permitted -( 777 <br /> Builder Name/Owner Name LcyV n 0't, awst /LC Control# <br /> County Par,.cel No. b z�-z -0((0--6[0800- 601 a subDiv: S![verAdo <br /> r Address/Location _ �p 3((P ez)bdJ Gi ,�j ,y� cT <br /> ClassificationlType of UseLj <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 21 �3d <br /> I g <br /> t Exempt ❑ Yes ❑ No How Determined <br /> Impact Fee Amount $. 3(23 2 ' Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ 7,p0 3 2-� <br /> (057) Mobile Home <br /> (058) Other,Resldential <br /> 123) Collection Fee <br /> Exempt U Yes ❑No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit -Recreation Total Zone TOTAL AMOUNT $ 761. 456 <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 4— <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 />