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PASCO COUNTY, FLORIDA <br /> Permit No. 2--Z(0 4 <br /> Date Permitted _5 Z3-2_c7 <br /> Bulider Name/Owner Name r. �8 Control#' " <br /> County Parcel No. SubDIV: cSi. I LYC7 <br /> Address/Location 757 b cA <br /> Classitication/Type of US@ <br /> TRANSPORTATION IMPACT FEE . Rate: Sq.Ft Unit: 3 �p <br /> ;. <br /> Exempt El ❑ No How Determined <br /> 'i Impact Fee Amount $.3i G3- • CM Zone No. TAZ: <br /> ' i SCHOOL IMPACT FEE ,,rr <br /> Account (096) Single-Family Detached House Amount <br /> k. (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt [j Yes n 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 $�6 <br /> Exempt ❑ Yes ❑ No How Determined. <br /> r3 <br /> r. <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 /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> t.'. 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 this form,placing <br /> x: the building permit owner,on notice of this assessment and tha conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />