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PASCO COUNTY, FLORIDA <br /> Permit No. 2,0 9 <br /> L,� -,fr Date Permitted <br /> Builder Name/Owner Name �1f COKS-1 {,s Eh Control#' <br /> County Parcel No. 0 2-4—q- (23X-0=10690 SubDiv: �`ffiLvd?1 <br /> Address/Location 7T' 6u)a-o/.Y G'� <br /> Classification/Type of Use i�p kj, aid b <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 3� <br /> Exempt ❑Yes [] No How Determined <br /> Impact Fee Amount Jc' Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (0561 Single-Family Detached House Amount $ � <br /> (057) Mobile Home <br /> (056) 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 /> Zone TOTAL AMOUNT $ 7&9`�� <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 Amoun <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 some. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br /> 1 <br />