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PASCO COUNTY FLORIDA <br /> Permit No. Z 2_5�7 <br /> t Date Permitted 2-1�_� <br /> Builder Name/Owner Name -LA finMe-s' <br /> Control#' " <br /> County Parcel No. 2 4—Z�-Z(-611[ ::::tO k 00-4&DubDiv: mdde-A <br /> Address/Location 3( 7—D IJQA&ll I�rO <br /> ;r ClassiflcatioMType of Use �Y) 4wZ <br /> 4 <br /> e.t TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Yes <br /> Exempt [] ❑ No How Determined <br /> Impact Fee Amount $. 3> (0,32,, Zone No. TAZ: <br /> • JiY. , <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ i�f'l 2,6 <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 17(of <br /> Exempt ❑ Yes ❑ No How Determined. <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> >' <br /> Facility Account Facility Credit Facility Total <br /> b� <br /> ft•- <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 /> 1ST <br /> f. 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 thQ conditions of payment for same. <br /> DATE RECEIVED BY <br /> ' I ' <br /> RECEIPT NO. DATE BY <br />