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PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted 7 <br /> Builder Name/Owner Name Control#' . <br /> county Parcel No. ?- `� �/b�ta��618a 'p �SubDiv: �^ <br /> Address/Locations b 0 t��!7 LGYCY a- <br /> ClassiflcationtType of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: Z.7k3` <br /> Exempt n Yes ❑ No How Determined <br /> Impact Fee Amount $. 3,'6 3- 6,0 Zone No. TAZ: <br /> SCHOOL IMPACT FEE ,/ r�!! <br /> G <br /> Account (056) Singie-Family Detached House Amount $ _ Dr 7�ff� C5 <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 $' , 01 <br /> Exempt ❑Yes Q No How Determined 6 <br /> i f <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 1,6(rot Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THET&AL AMOUNTS LISTED HAVE <br /> BEEN PAID AND, <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY <br /> Acknowledgement below does not impiy.acceptance of concurrence,but simply receipt of a copy.of thlefarm,placing <br /> the building permit owner on notice of this assessment and the conditions of payment for same. <br /> DATE -RECEIVED B <br /> RECEIPT NO. DATE BY <br />