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t <br /> PASCO COUNTY, FLORIDA <br /> Permit No. �3 <br /> Date Permitted — <br /> Builder Name/Owner Name L e.&ft4i— "� Control#' <br /> County Panel No. '2q L( Z( 6 110 Qr)b017 2,6 b SubDiv: rkdc <br /> f AddresslLocation /1'�0>1 ( '. <br /> cl— <br /> I ` <br /> t Classification/Type of Usq <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑1(es ❑ No How Determined <br /> Impact Fee Amount $. g (a 3: -- Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Petached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> f t Exempt (�Yes Q No How Determined <br /> i <br /> i. PARKS AND RECREATION FEE- <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ <br /> Exempt Q Yes ❑No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> 1 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 ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOI.)NTS LISTED HAVE <br /> BEEMPAID AND. <br /> RECEIPTED FOR.BY A CENTRAL PERMITTING OFFICE•OF PASCO COUNTY <br /> Acknowledgement belbw.does not Imply acceptance of concurrence,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 />