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PASCO COUNTY, FLORIDA <br /> Permit No. ZD 17 <br /> Date Permitted k--,96—t <br /> Builder Name/Owner Name /jevlil,A),2 a L&P control* ' <br /> County Par..cel No. <br /> Address/Location —1J q5 add A" <br /> Classification/Type of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑Yes [] No How Determined <br /> Impact Fee Amount $. 31 b 3 Zone No. TAZ: <br /> SCHOOL IMPACT FEE p� <br /> Account (056) Single-Family Detached House Amount $ 7A0Jam• 28 <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt dyes ❑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 $ 76 7. SL <br /> Exempt ❑Yes ❑ No How Determined <br /> LIBRARY FEE i <br /> Land Account Land Credit Land Total <br /> i <br /> Facility.Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑ No How Determined Total Amounk:; � <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 /> i <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply receipt of 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 />