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i <br /> vr%SCO COUNTY, FLORIDA <br /> Permit No. ��� <br /> Date Permitted <br /> Builder Name/Owner Name Control W <br /> County Parcel No. H�-2.6- 2-1-0 6&7W)ffvr7 SubDiv: r <br /> Address/Location is 0 ik.a_ rkG ..a} <br /> Classificationlrype of Use ` <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount &3 .6Z) Zone No. TAZ: <br /> t SCHOOL IMPACT FEE <br /> Account (056) Single-Famlly Detached House Amount $ �f{1'� 2-6 <br /> ! (057) Mobile Home <br /> (056) Other Residential <br /> } 123) Collection Fee <br /> Exempt Yes ❑No How Determined <br /> PARK_ S AND RECREATION FEE- <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT <br /> Exempt ❑Yes ❑ No How Determined <br /> LIBRARY FEE . <br /> Land Accoun# 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 f Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOIJhTS Lli"STIED 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 /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />