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s <br /> F <br /> L 1 <br /> T <br /> PASCO COUNTY, FLORIDA <br /> Permit No. 2—/W <br /> Date Permitted - -7f2z -f! <br /> Builder Name/Owner NameLifi{/ Control#' <br /> County Parcel No. 0 �_Z j—O f(D,()L)OD-b Z SubDiv: c�i <br /> Address/Location 9c5 I <br /> i l <br /> # Classiticationfrype of Use 6 mo G <br /> i 3 <br /> 4 TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑Yes ❑ No r How Determined <br /> Impact Fee Amount $. , Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> f Account (056) Single-Family Detached house Amount $ < <� <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt d 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 $ i� <br /> Exempt ❑Yes ❑ No How getermined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑ No How Determined Total Amounl:66 ' — <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 /> a <br />