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PASCO COUNTY, FLORIDA <br /> Permit No. ZO�OZ <br /> Date Permitted 7_1iX/9 <br /> Builder Name/Owner Name Control#' . <br /> County Parcel No. S e <br /> ubbDIiv: C d4 t_�i�2►— <br /> Address/Location 3 2 g 1"l�i(��1 l7U �� be <br /> Classification/Type of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 3/� <br /> Exempt ❑ Yes [] No How Determined <br /> Impact Fee Amount $. c51 b, '44 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> 2-8 <br /> Account (056) Single-Family Detached House Amount $ �, hU 5- <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt b 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 /> Zone TOTAL AMOUNT $ I• c5r6 <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 9. X-- 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 an notice of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />