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PASDO COUNTY, FLORIDA <br /> Permit No. 22�5'"Tz <br /> �) Data Permitted 't <br /> Builder Name/OWnef Name s( ) �k7Y1 Control <br /> County Parcel No. 3.5-��Z(-bit �7CY�-($�}�� Subpiv: I' <br /> Address/Location 7?62 cSAr- <br /> K !� t <br /> r <br /> Classiflcationfrype of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: pZ- <br /> Exempt ❑-(es ❑ No How Determined <br /> �w / <br /> Impact Fee Amount $. 3,I�J�� Zone No. TAZ: <br /> y' SCHOOL IMPACT FEE <br /> Account (056) Single=Family Detached House Amount <br /> (057) Moblle Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt n 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 $ 761. <br /> Exempt ❑Yes ❑ No How Determined. <br /> LIBRARY FEE <br /> Land Accounf Land Credit Land Total <br /> r Facility Account Facility Credit Facility Total <br /> Exempt n Yes ❑ No How Determined Total Amouttv_& <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> A PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> c SEEN PAID.AND .. . <br /> !'. RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrence,but slmply recalpt,of.a copy of.this Form,placing <br /> �? the building permit owner.on notice of this assessment and the conditlons of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />