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-'4 <br /> t <br /> PASCO COUNTY, FLORIDA <br /> Permlt No. <br /> t <br /> —�j� Date Permitted <br /> Builder Name/Owner Named ihyn&1 ( Control# <br /> County Parcel No. ' 2� b I 4v 006D 0 1 W SubDly: <br /> Address/Location <br /> Classiflcationtrype of Use c,5! t <br /> TRANSPORTATION IMPACT FEE Rate: Sq•Ft Unit: BZ(J <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $, �=►!Iti7Jz Zone No. TAZ: <br /> SCHOOL IMPACT FEE p� % rr <br /> Account (056) Single-Family Detached House Amount $ �t �l'� <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> it <br /> Exempt 6 Yes 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 $ l 0 <br /> A 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 Checked By <br /> NO CERTIFICATE OF OCCUPANCY-WILL BE ISSUER OR FINAL INSPECTION <br /> PERFORMED UNTIL THEtGTAL AMO'gN'tS 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 petrnit owner on notice of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />