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PASCO COUNTY, FLORIDA <br /> Permit No. <br /> V. <br /> Date Permitted' D .-2o <br /> Builder Name/Owner Name Le_wY\&,V- 4jy� Control#' <br /> County Parcel No. ZL'2-4e ZA & I 10 Comb L gcto SubDiv: C-rA-Coe+ opt <br /> Address/Location 39 7 4 llar-nNpn (Pce� C3— <br /> Classi8cation/Type of Us@ �z ti c <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: Z+ Z7�- <br /> Exempt ❑Yes []-No How Determined <br /> Impact Fee Amount $._3&32— Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ C <br /> (057) Mobile Home <br /> (058) Oilier Residential <br /> 23) Collection Fee <br /> Exempt d Yes. .Q No ' How Determined <br /> PARKS"ANWRECREATION FEE <br /> Land-Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTALAMOUNT $ f,0-sz <br /> Exempt ❑Yes Q 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 Totat Amount __, <br /> RESOURCE FEE ERU <br /> TOTALAMOUNT <br /> Prepared By 1 Checked By <br /> 0 <br /> NO CERTIFICATE;OF,OCCUPANCY WILL BE.ISSUED OR FINAL INSPECTION <br /> PERFORMED.UNTlLTH 70TALAMOUN'iS LISTED fIAVt <br /> BEEN:PAID:AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTINd OFFICE.OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrence;but slmply.recelpt ofa copy of.thts form,placing <br /> the buflding psrmit owner on notice of We assessment and ft conditions of payment for,same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br /> t:. <br />