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OAQCO COUNTY, FLORIDA <br /> .- ., Permit No. Lsi 8 <br /> Date Permitted <br /> Builder Name/Owner Name Mrrh M A(s 1-tC- Control# '' <br /> k County Parcel No. 3q 2,,S2 t D 16o Qaoa 3,517 0 SubDiv: <br /> YAtAe <br /> AddresslLocation 7 E56 i ii 6gfi ,�//__ <br /> Classification/Type of Use fk6kw//t'_ �d"� <br /> TRANSPORTATION IMPACT FEE • Rate: Sq.Ft Unit: 3 <br /> Exempt [�Yes ❑ No How Determined <br /> Impact Fse Amount $. c i;3�.(� Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> } 23) Collection Fee <br /> 1 Exempt 6 Yes Q No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> 4 ' <br /> E <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ �73, 73 <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 ` .r <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By ��^ Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL 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 concufrence,but simply receipt of•a copy of this form,placing 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 />