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i <br /> PASCO COUNTY, FLORIDA <br /> 4p' ' <br /> n Permit No. <br /> Date Permitted (n-zg M Z <br /> Builder Name/Owner Name 'h_t. Control#• <br /> County Parcel No. 3,5 2-5 21 L) (3c002Da SubDiv: S t.' <br /> Address/Location 7 z, Meer B a <br /> z <br /> Classiflcation/Type of Usi) <br /> TRANSPORTATION IMPACT FEE , Rate: Sq.Ft unit: <br /> Exempt []Yes Q No How Determined <br /> Impact Fee Amount $�37 �31 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056). Slogle=Family Detached House Amount $ }_ , 2. <br /> (067)' Mobile Home <br /> l (068) Other;Rasidentlal <br /> 123} CoRsctlon Fee <br /> Exempt [�Yes..Q No How Determined <br /> PARK&AND RECREATIONfEE- <br /> Lend Account Land.Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total . <br /> Zone TOTAL AMOUNT $"(& <br /> 'Exempt ❑Yes []No How DetermineA <br /> LIB RAR-Y FEE - <br /> .ti <br /> Land Account Land:Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt []Yes ❑No How Determined Total Amount <br /> 'RESCURCE FEE: ERLI <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE OF.OCCUPANCY.WILL$E 14SUED-V.R FINAL,INSPECTION <br /> PERPORMED t NTll 1'Hl»:'COT k{:A(UIOt N'1`S`L187 'HAVE <br /> • BEEN RAID.AND <br /> RECEIPTED FOR BY A CENTRAi:PERMITTING OFFICE OF PASCO COUNTY <br /> Acknowledgement balow.does not Imply.acceptance of concurrenca.but sMply,racelp of a_copq of this form,placing <br /> ttie building permit on notli:s of this asseseriient and'the darulltlons of paybiant for setae; <br /> DATE RECEIVED.BY <br /> RECEIPT NO. DATE BY <br />