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PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted - �_Z2-777 <br /> Builder Name/Owner Name 1 ,i ,nA r- &226A Control#' <br /> County Parcel No, d" -�o�ZJ_ J//()�p�/(}Jd0- (�(��/� SubDiv: 157 <br /> AddresslLocation j!L&4z <br /> 4 ClassiflcationfType of Use J, <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: Zi q4 <br /> Exempt ❑ Yes [] No How Determined <br /> f Impact Fee Amount $. 31�3 X'u U Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ —"? 9 C <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 <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 1 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-OFPASCO 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 />