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4 <br /> , I.ASCO COUNTY, FLORIDA <br /> - - - Permit No. Z 5(t <br /> Date Permitted —/ - <br /> -Builder Name/Owner Name L i'ov--bio T44Ci Control#' " <br /> i County Parcel No. 26 —Z$—ZI_h,4t1- r303Do—(xEqcfiubDiv: <br /> Address/Location 6 03 1)�_e_c+ <br /> t' Classit7catlonrrype of Us@ __ L lv Qm t <br /> c <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> .r1 <br /> Exempt <br /> p ❑1(es ❑ No How Determined <br /> 'Eli <br /> Impact Fee Amount $. 3t I63_7,0 Zone No. TAZ: <br /> ` ~ SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ r 4-11, 2 <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt Lj Yes ❑No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Z2:7one TOTAL AMOUNT $ 7s <br /> l _ Exempt ❑ Yes ❑ No How Determined <br /> LIBRARY FEE <br /> r 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 thla 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 />