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r— <br /> PASCO COUNTY, FLORIDA <br /> Permit No. O <br /> Date Permitted 7 Zf 2v5 <br /> Builder Name/Owner Name �J Control#' <br /> County Parcel No. �2- 2,5—2l—010 b—b L&0_p 2 t Iv: 31 "'15 <br /> Address/Location 3 �q `FC. V"+ �r <br /> Classification/Type of Use `LI., <br /> TRANSPORTATION IMPACT FEE Rate; Sq.Ft Unit: Z� 37o Z <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $. 3 t 63•Z, Zone No. TAZ: <br /> SCHOOL IMPACT FEE �j <br /> Account (056) Single-Family Detached House Amount $ C7r <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt [ Yes ❑No How Determined <br /> i PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ �c/—•S <br /> i <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 receipt of a copy of this form,placing . <br /> the building permit owner on notice of this assessment and thQ conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />