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PASCO COUNTY, FLORIDA <br /> Permit No. ZO 7 vr'Z <br /> Date Permitted —3o-49 <br /> Builder Name/Owner Name o,in h 40o-,'e_ Control#' <br /> County Papoel No. 2�{�2�0- Z/-OIUt�p^DOL��-a4So SubDiv: PK <br /> Address/Location c33 0(o Wl.�GL� en Uh((&,R) <br /> le- <br /> Classificatlon/Type of Use &i 14 Lryv'& 2/ 37G <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2t;W <br /> Exempt ❑Yes [] No How Determined <br /> Impact Fee Amount $ . 3r Zone No. TAZ: <br /> SCHOOL IMPACT FEED S� <br /> Account (056) 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 /> i <br /> Zone TOTAL AMOUNT $ 7(4p <br /> Exempt ❑Yes ❑ No How Determined j. <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 d 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 the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />