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I <br /> PASCO COUNTY, 'FLORIDA <br /> Permit No. z/S vo <br /> Date Permitted 7-z2-1 <br /> Builder Name/Owner Name 1,P_lt &-r �� Control#' . <br /> County Parcel No. Zb�ZI�/Jb-` //-(�y��-�47(� SubDiv: �% <br /> Address/Location / G'r� ltr All.ss <br /> t <br /> i Classificationrrype of Use S'i �e Ly <br /> { TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> # Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $. ���J��, 6D Zone No. TAZ: <br /> SCHOOL IMPACT FEE ' Bt <br /> i Account (056) Single-Family Detached House Amount $ 7! 6e 6. I� <br /> (057) Mobile Home <br /> (058) Other Residential <br /> d <br /> 23) 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 $ 76%` U 6 <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 tha conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />