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PA►SCO COUNTY, FLORIDA <br /> Permit No. (o 2 <br /> Date Permitted 3—Z —Zv <br /> Builder Name/Owner Name Control#' <br /> County Parcel No. SubDiv: 5; IUertp <br /> I �.^ <br /> Address/Locatlon 32 � 2✓ �� �'L <br /> 1 Classiflcatlonrfype of Us@ i m, <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: -T <br /> Exempt ❑.- es ❑ No How Determined <br /> Impact Fee Amount _$. -3 'Zone No. TAZ: <br /> �r <br /> SCHOOL IMPACT FEE p� <br /> Account (056) Single-Family Detached House Amount $ �Lr 4 (, 2_8 <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt []Yes ❑No How Determined <br /> PARKSAND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ <br /> Exempt ❑Yes ❑ No How Determined <br /> E LIBRARY FEE <br /> Land Account 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 By D Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> . PERFORMED UNTIL THE TOTAL AMOUNTS L19TED HAVE <br /> <l, -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 condloons of-payment for same. <br /> o. <br /> DATE 'RECEIVED BY <br /> RECEIPT NO. DATE BY <br />