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i <br /> I <br /> : PASCO COUNTY, FLORIDA <br /> Permit No. 214Y. <br /> Date Permitted <br /> Builder Name/Owner Name <br /> ' / )ne-LI � Control#' <br /> County Parcel No. 90�2�,-�10 SubDiv: S <br /> Address/Location@3 (L �2),6,61e Uc,�s Sr <br /> Classiflcatlon/Type of Use <br /> TRANSPORTATION IMPACT FEE Rate. Sq.Ft Unit. <br /> Exempt ❑Yes ❑ No How Determined <br /> E <br /> > Impact Fee Amount $. �163z, Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ 76O6 <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt d Yes ❑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 $ 769 ✓�� <br /> Exempt ❑Yes ❑ No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> i <br /> Facility.Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑ No How Determined Total Amoun <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 />