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PASCO COUNTY, FLORIDA <br /> Permit No. - n T <br /> Date Permitted <br /> i <br /> Builder Name/Owner Name Control#' . <br /> County Parcel No. 315 25 2 0 <br /> D G y 01�3v�J�n D�S"v. SubDiv: d f' � <br /> r Address/Location 1 WW,`,7 tr <br /> t � <br /> Classiflcatlontrype of Usq I <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 4�lfs <br /> Exempt ❑Yes []-No How Determined <br /> Impact Fee Amount .3 _ Zone No. TAZ: <br /> SCHOOL'IMPACT FEE <br /> Account (056) Single-Famlly 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 Sb <br /> Exempt ❑Yes ©No How Determined 11 <br /> LIBRARY FEE <br /> Land Acbount 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 LISTER HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTINt3 OFFICE,OF PASCO COUNTY <br /> Acknowledgement below does not Imply agceptance_of,concurrence,but simply,recelptota copy of thla,form,placing <br /> the bullding•pennit owner on notice.of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />