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PASCO COUNTY, FLORIDA <br /> _ Permit No. �� E <br /> Date Permitted 3--q-Zo <br /> Builder Name/Owner Name Control#• <br /> County Parcel No. ;32-2�5-2 j_ 6100-6 I&D-66Sb SubDiv: cSi 1(h'1aLt p <br /> x <br /> Address/Location -13 B e✓ &" ave- <br /> 3 Classification/Type of Us$ St � 1r!! <br /> jj <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> �r z1:3 <br /> Exempt ❑-'es ❑ No How Determined <br /> Impact Fee Amount $, / a' 'Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (050) Single-Famlly Detached House Amount $ <br /> "? (057) Mobile Home <br /> t <br /> ' (058) Other Residential <br /> 123) Collection Fee <br /> ! Exempt [�Yes No How Determined <br /> i <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT s .76 q -..)b <br /> Exempt ❑Yes No How Determined <br /> LIBRARY FEE <br /> 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 /> : <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> : <br /> BEEN PAID AND <br /> c <br /> ' RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE•OF PASCO COUNTY <br /> t.... <br /> f <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply recelpt of-a copy of this form,placing <br /> the bullding p'smrltowneron notice of this assessment and the condiflons of payment for same. <br /> r ' <br /> DATE RECEIVED"BY <br /> RECEIPT NO. DATE BY <br />