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PASCO COUNTY, FLORIDA <br /> Permit No. �� <br /> � tt Date Permitted laZ_t R <br /> Builder Name/Owner Name L �i`V e g Control#' /� <br /> County Parcel No. 2�1�1-Z(—(�t l.Q�{)t)aa—/q/0 SubDiv: �A wrQ I1 <br /> - <br /> Address/Location �j2Z-.� �r�Y11t �_ <br /> j jl <br /> 1 Classification/Type of Use e -fvr e <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> kk i <br /> Exempt ❑Yes ❑ No How Determined <br /> timpact Fee Amount _$. 3j6 3 Zone No. TAZ: <br /> 1, t <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ 2-805: <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 /> 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 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 />