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PASCO COUNTY, FLORIDA <br /> Permit No. <br /> /� <br /> ii� ([ Date Permitted S-I?- <br /> Builder Name/Owner Name l k"t'Tt1YgCv,- Control#' <br /> County Parcel No. ' -16-2(-of DO— d&v-00b SubDiv: & ewdo <br /> Address/Location 6.Z9 <br /> CiassificatlonlType of Use !_.,4AQ l <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: Zzk38 _ <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $. ��U�3 -0§0 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (055) Single-Family Detached House Amount $ t7, TC!- <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt [j Yes ❑No How Determined <br /> 1 . <br /> PARKS AND.RECREATiON FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $7G <br /> I <br /> Exempt ❑Yes ❑ No How Determined <br /> S <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> f <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 PERMiTTINd OFFICE OF PASCO COUNTY <br /> Acknowledgement below does not imply acceptance of,concurrence,but simply receipt of_a copy of this form,placing <br /> the building permit owner on notice of thle assessment and thel condltlons of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />