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s fASCO COUNTY, FLORIDA <br /> r <br /> Permit No. <br /> - Date Permitted _ .-Zo u <br /> Buiider Name/Owner Name kp Mhl 1-6?0-s Control#' " <br /> s <br /> County Parcei No. ?rq-Z••6 -24 -bll,$r/}DDG1)., SubDiv: hkJhA A_'Y4 " <br /> AddresslLocation �7G1�2, Z+/ <br /> )q_a!1 fl2 <br /> Classiflcationrrype of Usti ^ ti,yttls 1 <br /> Y TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 3 S <br /> 3 <br /> r <br /> Exempt ❑Yes ❑ No How Determined <br /> ay <br /> a{, Impact Fee Amount $. +�3 ob Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> ` Account (056) Single-Family petached House Amount $E. <br /> (057) Mobile Home <br /> (058) O#tier Residential <br /> 123) Collection Fee <br /> ` Exempt n 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 $7(0 9- <br /> Exempt ❑Yes ❑ No How Determined <br /> '•_ LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> r <br /> i= Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑ No How Determined Total Amoun <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUER 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 some; <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />