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t <br /> PASCO COUNTY, FLORIDA <br /> F • <br /> Permit No. <br /> Date Permitted _- - 7-z6z. <br /> Builder Name/Owner Name . ( ) O Ayir—' Control#• / <br /> County Parcel No. �2 c5-2/-d D-(�C��iD d7 04kYLl Div: 2 , <br /> F <br /> Address/Locatlon 7F'-� 1 e? <br /> Classification/Type of Use r <br /> TRANSPORTATION IMPACT FEE . Rate: SQ-Ft Unit: 2,68.2 <br /> Exempt []fifes Q No How Determined <br /> Impact Fee Amount $.�,10�3 a�C37} Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ , <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 $ 7 G`�� S6 <br /> Exempt ❑Yes C]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 ` Chocked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUEQ 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 slmply.racelpt of a copy of this form,placing 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 />