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Rp►SCQ COUNTY, FLORID, <br /> OJT, <br /> Permit No. s <br /> Date Permitted 6- ZCe2o28 <br /> Builder Name/Owner Name ctJ Q Control#' <br /> County Parcel No. JS-2Z-2l- 0 i�,O* 0l t�3a-, 1D SubDiv: zw4w- <br /> ,Q <br /> Address/Location 7733 Bred L� rt "f ,x- <br /> Clacsiflcatlonrrype of Use le-_rn,_/V <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: Z <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> s 123) Collection Fee <br /> s Exempt �Yes ❑No How Determined <br /> t <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> i <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ r7�� <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 /> 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 recelpt of•a copy of this.form,placing <br /> the bullding permit owner on notice of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />