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PASCO COUNTY, FLORIDA <br /> Permit No. ' `� <br /> Date Permitted `�j-zZa <br /> Builder Name/Owner Name Dkttrr Control# <br /> r/' <br /> County Parcel No, 3 � zS-z -��(�b�}f rQl�,d/(�-j}�9p SubDiv: S'let� <br /> Address/Location 3�5 - �'1�1 U <br /> Classification/Type of Use 9,q P . r <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: _ 4 <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount 1. ,637- Zone No. TAM <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ 7 t1 <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 $ <br /> 1 <br /> Exempt ❑Yes ❑ No How Determined <br /> i <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 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 />