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i <br /> P-SC® COUNTY, FLORIDA <br /> Permit No. <br /> /� <br /> Date Permitted <br /> Builder Name/Owner Name av Control#• ' <br /> County Parcel No. 3Z-2.&2.I._6160-ClBOw� b070 SubDiv: 3v luemA . <br /> '{ Address/Location S 3 e4' )DI <br /> w <br /> y Classification/Type of Us St <br /> 10­.. <br /> i <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2 36 Z <br /> Exempt ❑ ie' ❑ No / How Determined <br /> Impact Fee Amount $. 3(6-92! Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ Z'R <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 $ 76 c Ski. <br /> - Exempt ❑Yes ❑ No How Determined <br /> �. <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> t Facility Account Facility Credit Facility Total <br /> ,x. <br /> Exempt ❑ Yes ❑ No How Determined Total Amount_ <br /> i <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 /> J, <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE-OF PASCO COUNTY <br /> Acknowledgement below does not imply acceptance of concurrence,but simply.recelpt of•a copy of this form,placing <br /> r the building permit owner on notice of this assessmerit and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />