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T, PASCO COUNTY, FLORIDA <br /> ( Permit No. 2 7—Y518 <br /> Date Permitted <br /> Builder Name/Owner Name s� �,ac_ Control#' " <br /> County Parcel No. _3_'j_Z5 D(qO--00J00-04 ZO SubDiv: T �44Z <br /> Address/Location 7 82 Dwi e tw IL4-- <br /> r <br /> CiassiSoatlo ypa of Us$ �r 11Cr m�M <br /> Y <br /> TRANSPORTATION IMPACT FEE • Rate: Sq.Ft Unit: Z 7 T <br /> ? Exempt (]-fes ❑ No How Determined <br /> impact Fee Amount $c„ c �. Zone No. TAZ: <br /> 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 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 $ � I Sb <br /> Exempt ❑Yes ❑ No How Determined <br /> U• <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 Chocked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> Y BEEN PAID.AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> fs <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply receipt of a copy of two form,placing <br /> .` the building permit owner on notice of this assessment and the conditions of payment for same. <br /> r <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />