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' I <br /> PASCO COUNTY, FLORID <br /> _ Permit No, 1 " <br /> (y Date Permitted 5"-Zv 2d <br /> -guider Name/Owner Name Control# ` <br /> i <br /> County Parcel No. 35,2s 2,!-o 1 to-z boa-o 3(or� SubDiv: _L2pk44,ta& <br /> Address/Location �c3 <br /> Classificatlorfrrype of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $. �(D 3 , (b Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount <br /> (057) Mobile Home <br /> (056) Other Residential <br /> 123) Collection Fee <br /> i 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 $ 76 U _ <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—Or- <br /> 'RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By b 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 s copy of this form,placing <br /> the building permit owner•on notice of this assessment and thei conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />