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t <br /> PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted 0—.2-p - j <br /> Builder Name/Owner Namet, IJ Control#' " <br /> County Parcel No, 35 2i5 Zl 0!4b. DUBoa O!n SubDIY: <br /> Address/Location 79 3 6 -boad �fti c <br /> Classification/Type of Us@ <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 6 2, <br /> Exempt Yes [] No How Determined <br /> Impact Fee Amount, _$. 115 r 6 52 Zone No. TAZ: <br /> SCHOOL IMPACT FEE f/ <br /> Account (056) Single-Family Retached House Amount $ <br /> 1 (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> ` Exempt Yes. (]No How Determined <br /> PARKSAND RECREATION FEE- <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone _ TOTAL AMOUNT $ <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.WILL 13f;ISISUED OR.FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOLINTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PBRMiTTING OFFICE,OF PASCO COUNTY <br /> AcWow!edgement below does not Imply acceptance of concurrence,but simply receipt of•a copy of thla form;placing - <br /> the building permit owner on notice of this assessment and tha cfladifts of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />