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j PASCO COUNTY, FLORIDA <br /> Permit No. ZC3 Z� <br /> Date Permitted <br /> Builder Name/Owner Name ►Il�y�S�Gh Control#' . <br /> County Parcel No. S�-2-S-Z1-,t/16D-I`ADDO-3S4D SubDiv: eA IA rr 20ya s <br /> Address/Location 3 7 6 L S Al(°t,GLL)/m ALA� <br /> Classification/Type of Use /y-0h 1/C1�T2 tto» ,/ <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 11 56`f' <br /> Exempt ❑Yes [] No How Determined <br /> Impact Fee Amount $. �I 3�` Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 1 23) Collection Fee <br /> Exempt 0 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 $ '7_5 <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 <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 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 /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />