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PA O COUNTY, FLORIDA <br /> Permit No. .7-a 7 7 9 <br /> Date Permitted #- z? <br /> Builder Name/Owner Name pile Mr� Control#' ' <br /> County Parcel No. 3 -2/-ICI . _6 0 DA Z)l lasubDIv: ��u as <br /> Address/Location 7/ d)zae- (y - <br /> Classification/Type of Use kAn /e 4,r l y <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: ?,r <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $3,132e .M Zone No. TAZ: <br /> SCHOOL IMPACT FEE` �/ <br /> Account (056) Single-Family Detached House Amount $ T f�r 2-8 <br /> (057) Moblle,'Hbme <br /> (058) Othei:Resldentlal <br /> 123) Coliectloh 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 $ 7W, S6 <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 Amounf"��_� <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> f <br /> Prepared By Checked By <br /> i <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 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 /> the building permit owner on notice-of this assessment and the conditions of payment for same. <br /> I <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />