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PASCO COUNTY, FLORIDA <br /> Permit No. �Lo f / <br /> //-- Date Permitted Z Z7 <br /> Builder Name/Owner Name Control#' . <br /> County Parcel No. 0 _0"z1— 006o—&_Nq— 00 R SubDiv: c�j (/e�LL?� <br /> Address/Location 6 597 0 6 dR(� �iY/ Gay <br /> Classification/Type of Use si�lly�P ftr`T � 0�3 <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: ��� <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $. 3 r 3� db Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ 7i 177.2� <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 $ 70- 6-6 <br /> I . <br /> Exempt ❑Yes ❑ No How Determined <br /> LIBRARY FEE <br /> i <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 n 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 />