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PASCO COUNTY, FLORIDA <br /> Permit No. 2-0 4 <br /> Date Permitted /2-Z&-! <br /> i <br /> Builder Name/Owner Name tx AvkCr Control#' <br /> County Par„cal No. 25?�-2/- b l�d^bWyD'GLS6(�SubDiv: i <br /> dd e <br /> Address/Location 2`/�� mDy-(den den 6`C/o <br /> Classification/Type of Use csli le '` 2-, 372." <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: ) - <br /> Exempt ❑Yes [] No How Determined <br /> Impact Fee Amount $ c7�(oJ�� Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (0561 Single-Family Detached House Amount $ 7, • <br /> (057) Mobile Home <br /> (058) 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 /> l <br /> Zone TOTAL AMOUNT $ 7 9 <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 <:Ar — <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 some. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />