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i <br /> PASCO COUNTY, FLORIDA <br /> 3� <br /> Permit No. D <br /> Date Permitted <br /> Buiider Name/Owner Name Control#' " <br /> f County Parcel No. 2-6-Z,5--?//jl9�o-- LY�Q SubDiv: •��� <br /> i Address/Location <br /> 2 Gr� f S <br /> i <br /> ClassificatlonlType of Us@ s-yef N <br /> TRANSPORTATION IMPACT FEE Rate: SQ-Ft Unit: <br /> is <br /> Exempt ❑Ves ❑ No How Determined <br /> Impact Fee Amount $. � � t� Zone No. TAZ <br /> . SCHOOL IMPACT FEE <br /> } Account (056) Single-FamBy Detached House Amount $ Z. Z <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 $ 70• 66 <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.raceipt of-a copy of thisform,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 />