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i <br /> w PASCO COUNTY, FLORIDA <br /> .. ,.e .l <br /> Permit Na. . � _ <br /> Date Permitted '7 ,Z1� <br /> Builder Name/Owner Name ( k, TIMC.11 Control#' . <br /> County Parcel No. Z j— /(gip 0 2 dp_ 0 j f 6SubDly: S ItAO-rah <br /> Address/Location 83� �S',f f ZAA <br /> i <br /> t <br /> Classification/Type of Use c�.. i1A <br /> l TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑'Yes ❑ No How Determined <br /> Impact Fee Amount $. �j ljJ�� Zone No. TAZ: <br /> I . <br /> i SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ 7 005", 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 /> Zone TOTAL AMOUNT $ 7 �� <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 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 thq conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />