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PASCO COUNTY, FLORIDA <br /> Permit No. io0 <br /> Date Permitted 0 —Z8 <br /> is <br /> I, Builder Name/Owner Name _6 1C %I7 ` Control#' <br /> County Parcel No.O z6 u al13a C ;( f) 70 SubDiv: <br /> t <br /> Address/Location - <br /> f Classificatlon/Type of Usq " M06U _/ eU <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑Yes [].No How Determined <br /> Impact Fee Amount $.3/ 5-:� Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ <br /> (057) Mobile.Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt d Yes- .Q 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 <br /> Exempt ❑Yes ❑ No How Determined <br /> LIBRARY FEE <br /> Land Adbeuni 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 B c Checked By <br /> NO CERTIFICATE.OF.000UPANCY WILL BE ISSUED OR.FINAL INSPECTION <br /> PERFORMED UNTIL'TFIE TOT <br /> ALAMOUNTS LISTED HAVE <br /> . BEEN:PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE-OF PASCO COUNTY <br /> Acknowledgement below does not imply agceptance of concurrence,but simplyrecelpt of•a copjr.of this form,placing . <br /> the building permit owner on notice of tfils assessment-and tho conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />