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PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted —7_3— <br /> Builder Name/Owner Name &L Control <br /> County Par,.cel No. Le-04- }bb�3o-d�v3U0- Ol0 SubDiv: L2e& <br /> Address/Location 3 777 `/ eek <br /> Classificationrrype of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt []Yes ❑ No How Determined <br /> Impact Fee Amount $. //$7�� Zone No. TAZ: ! <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Famlly Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt a Yes ❑No How Determined <br /> . I <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ G 0,3.e,6 <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 Amounf__:�: <br /> RESOURCE FEE , ERU <br /> TOTAL AMOUNT j <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 /> i <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 tho conditions of payment for same. <br /> I <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br /> I <br />