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PASCO COUNTY, FLORIDA <br /> Permit No. 2-o 9 T 7 <br /> Date Permitted 3 - <br /> Builder Name/Owner Name Control W <br /> County Par,.cel No. OZ-Z. Z/-G,,Q ��:3,f�D -6001V ,-6(2-o SubDiv: �r(Af l&) <br /> Address/Location k 7 J c5 ,t�L�&Jmd rib <br /> Classificationrrype of Us® <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: (', 3j <br /> Exempt F1 Yes F1 No How Determined <br /> Impact Fee Amount $. /,L67 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) 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 /> Zone TOTAL AMOUNT -$ -i& <br /> Exempt Yes F1 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 />