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PASCO COUNTY, FLORIDA <br /> Permit No. 3 <br /> Date Permitted --2 -Z-6 2.6 <br /> Builder Name/Own®r Name fTtJr Control W ' <br /> County Parcel No. .'3z ZI- 6lob-61&�O-6(1�� SubDIV: .3; I y-ndo ma� <br /> Address/Location A rwy A-ed �1-, <br /> � <br /> Classiflcation/Type'of UsQ cafY� O � (� <br /> r <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: .Zl 21�6 <br /> Exempt ❑Yes ❑-No How Determined <br /> Impact Fee Amount Zone No. TAM <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount <br /> (057). Moblld Home —' <br /> (058)j Other Residential <br /> 123): Collection 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 Sb <br /> G • <br /> Exempt ❑Yes 0 No How Determined <br /> i LIBRARY`FEE <br /> Land Adbounf Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑ No How Determined Total Am ow . <br /> .RESOURC,E.FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICAT.E.OF.00CUPANCY WILL:BE.ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTILTHE`TOTAL' AMOUNTS L'ISTED'H'AVE <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 slmply,receipt of:a:copy of this form,placing . <br /> the building permit owner on nollca,of this assessment and tha condWonsof payment forsame. <br /> DATE RECEIVED BY <br /> RECEIPT NO. , DATE BY <br />