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r-- <br /> PASCO COUNTY, FLORIDA <br /> Permit No. c � _ <br /> Date Permitted - '7!. r 2 <br /> Builder Name/Owner Name �� � Control#' ' <br /> County Parcel No..92-2tr n. 0 6 gDD— SubDiv: ItAri <br /> Address/Location D3 Aar r r>cL � d l— <br /> ClassiflcationfType of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq:Ft Unit: <br /> Exempt ❑Yes No How Determined <br /> Impact Fee Amount Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Singie-Family Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt ( Yes [l 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 []Yes 0 No How Determined is <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 receipt of-a copy,of this form,placing <br /> the building permit owner on nodes of this assessment and theE conditions of payment for same. <br /> F <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />