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r-- <br /> PASCO COUNTY, FLORIDA <br /> Permit No. ,.. <br /> Date-Permitted <br /> Builder Name/Owner Name f 7"tt;y4h Control#' <br /> County Parcel No, " `�21�`p2 ab, CTLZ SubDiv: 61 <br /> Address/Locatlon -7 �L-- <br /> 44 <br /> Classltication/Type of Use . r <br /> TRANSPORTATION IMPACT FEE Rate: SQ,Ft Unit-2- <br /> Exempt No How Determined <br /> I <br /> Impact Fee Amount .-31 Zone No. TAM <br /> j SCHOOL IMPACT FEE <br /> ( Account (066) Single-Famlly Detached House Amount $ <br /> (057) .Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt []Yea . Q 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 $ <br /> Exempt [1 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 f Checked By <br /> NO CERTIFICATE OF.OCCUPANCY WILL BE ISSUER-OR.FINAL INSPECTION <br /> PERFORMED UNTILTHETOTAL AMOUNTS LISTED HAVE <br /> BEENPAID AND <br /> RECEIPTED FOR BY A CENTRAL'0ERMiTTING OFFICE.OF-PASCO.COUNTY <br /> Acknowledgement below doss not Imply acceptance of concurrence,but simply receipt of a copy,of this form,placing <br /> the building pemilt ownei on notice of this aesesenient and tho-conditlons of payment for-saa w <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />