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PASCO COUNTY, FLORIDA <br /> t <br /> Permit No. � <br /> r, , r l4 Date Permitted. 1&.Z-7-tyt� <br /> Builder Name/Owner Name dC CT t �i Control# ' <br /> County Parcel No. 2_ Z 2.&0 a(yob 111//0 SubDiv: /i 1}fiS'a . <br /> d <br /> Address/Location <br /> Classification/Type of Us# Lj <br /> �l <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit23 <br /> Exempt ❑Yes (_� No / How Determined <br /> i Impact Fee Amount. Zone No. TAZ: <br /> SCHOOLIMPACTTEE <br /> Account (056) ,Singls-Family Detached House Amount 2-8 <br /> (057), Mobile Home <br /> I (056) Ottier Residential <br /> d <br /> 23) Collection Fee <br /> Exempt Yes. C1-No How Determined <br /> PARKS'AND_RECREATION FEE- <br /> Land-Account Land Credit Land Total <br /> Recreation Account Recreation Credit . Recreation Total <br /> Zone _ 'TOTAL AMOUNT $ <br /> Exempt ❑Yes [Q'No How Determined <br /> ti. <br /> LIBRARY.FEE <br /> Land Accounf Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes Q No How Determined Total Amount'•�_ <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By _ Checked By <br /> NO CERTIFI.CATE'OF OCCUPANCY.VALL.BE ISSUED OR.FINAL_INSPECTION <br /> PERFORMED CINTIL T1 E16UL MOONTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED"FOR OY A CENTRAL•PERMITTING OFFICE OF PASCO COUNTY <br /> Ackrt wledgement below does not Imply acceptance_of ooncurrence,but simply receipt of-a copy of this form,placing <br /> the building permit own6r•',on notice of this assessment and the conditions.of•payment for same. <br /> DATE RECEIVED$Y <br /> RECEIPT NO. DATE BY <br />