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PASCO COUNTY, FLORIDA <br /> Permit No. �OZ <br /> ,���r� Date Permitted —3 <br /> Builder Name/Owner Name jef <br /> Ya `ti r4� 10Y' Control#' <br /> County Parcel No. 26-.24-607aJjLSD-LbZo. SubDIv: a� ✓� is <br /> Address/Location 3--y :� m(c� <br /> s <br /> ClassificatlonlType of Usq ''��e rK,14, <br /> r <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: .2, 6 <br /> Exempt ❑Yes [] No How Determined <br /> Impact Fee Amount �. 3r. 6a Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ TA5,Z <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt 6 Yes ❑ No How Determined <br /> PARKS RAND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit -Recreation Total <br /> Zone TOTAL AMOUNT $ Fa�/•J��D <br /> Exempt ❑Yes ❑ No How Determined <br /> LIBRAXYFEE <br /> Land Account Land Credit Land Total <br /> Facility,Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑No How Determined Total Amount <br /> i <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 doe&not Imply acceptance of concurrence,but simply receipt of a copy of this form,placing <br /> the buAding parmIt owner on notice of this assessment and thq conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />