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1 <br /> { it PA,SCO COUNTY, FLORIDA <br /> _ Permit No. <br /> Date Permitted J-24-,WZV <br /> i <br /> Builder Name/Owner Name Control#' <br /> County Parcel No. 32-252�r (�p,! 7( L p SubDIv: 4;? <br /> r_ Address/Location <br /> t CiassiflcationlType of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑fifes ❑ No How Determined <br /> Impact,Fee Amount $. &3 2. Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account - (056) Single=Family Detached House Amount $ � 2 <br /> (057) Mobile Home <br /> (058) 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 $ ?G�, :6 <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 /> Prepared By Checked By <br /> U . <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAtD.AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply recalpt_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 />