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PASCO COUNTY, FLORIDA <br /> Permit No. 2-U`7 <br /> 11 __II Date Permitted 2-�- <br /> Builder Name/Owner Name c-0 E � Tel n� Control# <br /> County Parcel No. h 5-24- ZI — b(DD -o(zoo_oa-7o SubD!v: <br /> Address/Location (0(6 ,35 cn'�r <br /> Classificationrrype of Use Si plc._ 3� <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2I 3(,9 2- <br /> Exempt ❑ Yes [] No How Determined <br /> Impact Fee Amount $. 3 r �32'CO Zone No. TAM <br /> SCHOOL IMPACT FEE <br /> Account (0561 Single-Family Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt a 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 $ -7 6 l.5j�, <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 /> 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 /> I <br />