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y I <br /> r PASCO COUNTY, FLORID <br /> Permit No. 40 <br /> + _ <br /> . —�,^, �!!t Date Permitted � 2 <br /> ~Builder Name/Owner Name l�Y� T Control#' ' <br /> County Parcel No. .32-Z-5'zl,h dQ 635D SubDly: <br /> Address/Location <br /> Classification/Type of Use S;� <br /> TRANSPORTATION IMPACT FEE • Rate: Sq.Ft Unit: Dc`55 <br /> Exempt ❑Yes ❑No How Determined <br /> Impact Fee Amount Zone No. TAZ: <br /> ! SCHOOL.IMPACT FEE t2-6 <br /> Account (056) Single-Family Detached House Amount $ i !�r <br /> (057) Mobile Home <br /> (056) 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 $ /t � <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 C ► ___ Checked By <br /> NO.CERTIFICATE OF OCCUPANCY WILL BE ISSUED-OR.FINAL INSPECTION <br /> PERFORMED'UNTIL THE TOTAL AMOUNTS:IiSTED HAVE <br /> BEEN PAIDAAND <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 buflding permit owner•onnotice of this assessment and the conditions of paymenflor same, i <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />