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i <br /> I <br /> j <br /> PASCO COUNTY, FLORIDA <br /> Permit No. •Y7( <br /> � <br /> Date Permitted 7--Z - <br /> Builder Name/Owner Name _ A�tUt'' Control W <br /> County Pangel No. d -?'Fe -v-bi'G()-W`00-a t Sty SubDI% 8 <br /> Address/Location ��3�} 31 dl�! <br /> Classification/Type of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2-,ti <br /> Exempt Q Yes ❑No How Determined <br /> 1 impact Fee Amount $. 3/ 3 , bd Zone No. TAZ: <br /> l <br /> i SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt F]Yes Q No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit -Recreation Total ff <br /> Zone TOTAL AMOUNT $ `?��• b <br /> Exempt ❑Yes E] 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 the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />