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PASCO COUNTY, FLORIDA <br /> Permit No. Z- 45W <br /> r/' Date Permitted "7 ZZ�-� <br /> Builder Name/Owner Name tn,Ar a'' Control#• <br /> County Parcel No. 19'V`24,2.(-6110-00&-00'ZQ SubDiv: J� _ <br /> Address/Location ,1/0 d lnhle <br /> ( ClassiflcationlType of Use <br /> ! TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> — <br /> Exempt ❑Yes ❑ No / How Determined <br /> Im pact Fee Amount $. t2✓��' Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ 1, � <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 /> j <br /> i <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 `j�� 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 />