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PASCO COUNTY, FLORIDA <br /> Permit No. `2 r.S 7 0� <br /> �} t Date Permitted _ 2_ <br /> Builder Name/Owner Name E l /� tr 'ttM G Control#' <br /> County Parkes No. <br /> Address/Location 7 D 3, '81 <br /> Classification/Type of Use lst t� Mr l <br /> 1 TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt n Yes o No How Determined <br /> i Impact Fee Amount $. 3, (o3,;i Zone No. TAZ: <br /> 1 ' <br /> 1 SCHOOL IMPACT FEE <br /> i Account (056) Singe-Family Detached House Amount $ 5 c <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt d Yes Q 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 $ 7 6q. s4 <br /> Exempt []Yes [] No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total �.-- y <br /> Exempt ❑Yes [] No How Determined Total Atnourdc ' <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 />