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PASCO COUNTY, FLORIDA <br /> - Permit No. <br /> T� ( Date Permitted 7—/?=2c7� <br /> Builder Name/Owner Name , {� �Cior ,D , Control#' <br /> County Parcel No. SubDIv: 20_41wr_� <br /> t <br /> Address/Locatlon 0 G t(3b-• a- Ott 1� <br /> h <br /> Classiflcatlon Type of Usq S n(I <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑Yes [] No How Determined <br /> Impact Fee Amount $. 3f Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> i Account (0$8) Single-Family Detached House Amount $ � //, 2 s <br /> (057) Mobile Home <br /> I (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� q• `�� <br /> Exempt ❑Yes ❑ No How Determined` <br /> LIBRARY FEE <br /> Land Accounf 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 13E 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,doss not Imply acceptance of concurrence,but simply recelpt of•a copy of this form,placing <br /> the building permit,ownst on notice of this assessment and tha oondillons of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />