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PASCO COUNTY, FLORIDA <br /> r jt1 <br /> _- Permit No. l 7 ^ <br /> jj^``-- -- Date Permitted •— = <br /> 2-1 <br /> Builder Name/Owner Name 17 � Control#' <br /> County Parcel No. I-q 24' Zl l/��lJldae& ,2-6'-71) SubDiv: <br /> f Address/Location 6?o <br /> Classiflcatlon/Type of Usq S h i 4 <br /> TRANSPORTATION IMPACT FEE . Rate: Sq.Ft Unit21 <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $. 3L �.� Zone No. TAZ: <br /> SCHOOL IMPACT FEE ? ` <br /> Account (056) Single-Family Detached House Amount $ <br /> (057) Moblle Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> i Exempt (�Yes []No How Determined <br /> l <br /> E. PARKS AND RECREATION FEE- <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> s TOTAL AMOUNT $ 74 1516 <br /> Zone <br /> 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°l tlLL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AM04NTS LISTED HAVE <br /> BEEN-.PAID AND. <br /> RECEIPTED FOR.$Y A CENTRAL PERMITTING OFFICE•OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrence,but simpty.recelpt ofa copy of this form,placing <br /> the building permit owner on notice of this assessment and tha conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />