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4 <br /> PASCO COUNTY, FLORID <br /> I _ Permit No. - <br /> j <br /> Date Permitted �2{o�?� <br /> Builder Name/Owner Name D k TTOLJ:) Control#' <br /> County Parcel No. 32-2E5 Z(-6160- 01&0» 01..qp, SubDiv: <br /> Address/Location a ('01!5�t t;� /W-r c r" <br /> Classificationrl"ype of Use r It- i t <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> jExempt ❑Yes ❑ No How Determined <br /> t <br /> Impact Fee Amount '$. �� � Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (066), Singie-Family Detached House Amount $ <br /> (057) MobilWHome <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt n 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 $ 7ki siv <br /> - <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 /> .} <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 payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />