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i <br /> PASCO COUNTY, FLORIDA <br /> Permit No. <br /> l� y Date Permitted v �2 <br /> -Builder Name/Owner Name tt/7-� t by l�tl Control#" <br /> County Parcel No. 92:25-Z(— 0(DE)-»Q(9rbt?» D77qp SubDiv: <br /> /_ <br /> f <br /> Address/Location 5� skjL Vat- Dw <br /> Ciassificatlon/Type of Use (e <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt [j Yes ❑ No How Determined <br /> Impact Fee Amount Oli .OD Zone No. TAZ: <br /> SCHOOL IMPACT FEE �j <br /> �- Account (056)- Single-Family Detached House Amount $ �, `F 1 t, <br /> (057) Mobile Home <br /> (050) Other Residential <br /> 123) Collection Fee <br /> Exempt n Yes 0 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 <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 ❑ No How Determined Total Amount <br /> RESOURCE.FEE ERU <br /> TOTAL AMOUNT <br /> 1 <br /> Prepared By a, _ 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"receipt of a copy of this form,placing <br /> the building permit owner on"notice of this assessment and the conditions of paymentfor same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />