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PASCO COUNTY, FLORIDA <br /> Permit No. Z <br /> //II Date Permitted 2-- <br /> Builder Name/Owner Name km kAa r 1"e3 Control#' " <br /> County Parcel No. SubDiv: Q�2/L Iei�t2�' <br /> AddresslLocatlon 3t37, �A// 391 <br /> `�il <br /> s, Classiflcationrrype of Us@ VI�nGle ' IU <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2t 37Z <br /> Exempt ❑flee [:] No How Determined <br /> �s <br /> 1 r. Impact Fee Amount $. ,3 �j_2_, Q Zone No. TAZ: <br /> k+% <br /> SCHOOL IMPACT FEE <br /> Y 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 <br /> Exempt ❑Yes ❑ No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> v <br /> Exempt ❑ Yes ❑ No How Determined Total Amount 451 <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE,ISSUED.OR.FtNAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAIDAND <br /> r. RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY <br /> Acknowled ement below does not Imply acceptance of concurrence but simply receipt of•a co of this form,placing <br /> t:. 8 PY P. � P.Y. P PY 8 <br /> E. 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 />