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PASCO COUNTY, FLORIDA <br /> Permit No. �i���Z <br /> Date Permitted �Z-I 2—ltg <br /> Builder Name/Owner Name [7TIY CJG[L Control#' <br /> County Parcel No. U`J-Z�-2�-b�U�-6(26[�-Lld�b SubDiv: 0 PEr <br /> Address/Location 1,763 09- f T r <br /> Classification/Type of Use C51 /I a/ - 3, IS <br /> TRANSPORTATION IMPACT FEE Cj Rate: Sq.Ft Unit: <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $.�16 32` Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ `l, /q!F,, <br /> 2-8 <br /> (057) Mobile Home <br /> (056) Other Residential <br /> 123) Collection Fee <br /> Exempt ( 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 Zone TOTAL AMOUNT $ 7 G <br /> 6`-56 <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 Arnou <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By9 . 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 />