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F-__... <br /> PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted -Z!a <br /> Builder Name/Owner Name Le4,--, Control#' <br /> County Parcel No. z ZSS2 ! Q f 16 00000/A,zb SubDIv. <br /> � <br /> AddresslLocadon ,/�78 � 7�.�;t;,t. <br /> Classtfica lon/Type of Usq C_) le— <br /> TRANSPORTATION " <br /> IMPACT PEE Rate: Sq.Ft Unit: zr 3 Az <br /> Exempt Q fifes -Q No How Determined <br /> Impact Fee Amount $.�36,3 2-- Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Singie-Family Retached House Amount $ <br /> (057) Mobile Home <br /> 4 (068). Other Residential <br /> 923) Collection Fee <br /> ` Exempt [�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 /> o <br /> Zone TOTAL AMOUNT $ 7. 6o, <br /> Exempt ❑Yes �❑No How Determined <br /> LIBRARY FEE <br /> ' Land Accounf Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt Q 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 AmopisiYS 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 coridillons of payment for some <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />