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PASCO COUNTY, FLORIDA <br /> Permit No. Z d 1 1I6 <br /> Date Permitted -2 -l <br /> Builder Name/Owner Name 4/t/4— 'e<f Control#' l <br /> County Pap:el No. 0 ~7_1`D09p._b&T0d-617d SubDIV: <br /> Address/Location •359 5 Sahll 16) <br /> ClassificatioNType of Use 61 e 3 ?70 s <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: ,97a <br /> Exempt ❑Yes [] No How Determined <br /> Impact Fee Amount $. 3/631Z Zone No. TAZ: <br /> SCHOOL IMPACT FEE -71605, 2-8 <br /> Account (0561 Single-Family Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt [ 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 /> *� a <br /> Zone TOTAL AMOUNT $ /0 9(j6 <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 /> i- <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 />