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4 <br /> PASCO COUNTY, FLORIDA <br /> Permit No. -L 15 <br /> Date Permitted <br /> Builder Name/Owner Name Control#' j <br /> County Paroei No. Q 5-Zro-2,-/-��D©-6V 60-Ogk SubDiv: 16 �b <br /> Address/Location 6 ! T i 1 ve,-C7 0 p I VD <br /> i Classification/Type of Use s,Tyn�ir�y <br /> 's TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: ,u3 <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $. 3 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> { Account (056) Single-Family Detached House Amount $ 7606, <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 $ 7r09 � <br /> Exempt ❑Yes ❑ No How Gletermined <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 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 recelpt of a copy of this form,placing <br /> the building permit owner on notice of this assessment and the conditions of payment for some. <br /> DATE ' RECEIVED BY <br /> RECEIPT NO. DATEBlt- <br />