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i <br /> PASCO COUNTY, FLORIDA <br /> Permit No. � 1 <br /> Date Permitted 12 <br /> hBuitder Name/Owner Name -JnPlGy' t✓ Control#' <br /> ?-� b (� �!`t!�County Parcel No. 2 SubD(v: <br /> Address/Location 4 <br /> Classificationffype of Usq <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit 3 70 <br /> Exempt ❑Yes ❑ No t How Determined <br /> Impact Fee Amount $. ! �� Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount 404 t Z <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt [�]Yes Q No How Determined <br /> !. PARKS AND-RECREATION FEE, <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total 1 <br /> Zone TOTAL AMOUNT $ -7& , <br /> Exempt ❑Yes ❑No How Determined <br /> LIBRARY FEE <br /> Land Accounf Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt n Yes ❑ No How Determined Total Amount <br /> RESOURCEFEE ERU <br /> TOTAL AMOUNT <br /> Prepared By °Y � Checked By . <br /> NO CERTIFICATE OF OCCUPANCY W. ILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UN11L 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 notice of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />