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P'ASCO COUNTY, FLORIDA <br /> c, <br /> Permit No. lZ <br /> L ' <br /> Date Permitted'5- Zo -0 <br /> Builder Name/Owner Name Control# '" <br /> County Parcel No. ! 1�lt-�(d aA-ISM�73 SubDiv: <br /> Address/Location 77"7 (IdGt lUir? trC <br /> ClassiflcationrType of Use 0 . <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit; <br /> ( <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $. c 3 [ Zone No. TAZ: <br /> i <br /> { SCHOOL IMPACT FEE //II <br /> Account (056) Single-Family Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt dyes ❑No How Determined <br /> PARKS AND RECREATION FEE <br /> i <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ "7,4 S6 <br /> Exempt ❑Yes [] No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑ Yes F1 No How Determined Total Amount <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By _ IQ,AQ 14) Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED 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 recelpt 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 />