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i <br /> PASCO COUNTY, FLORIDA <br /> r o <br /> Permit No. b <br /> Date Permltted I <br /> Builder Name/Owner Name 'F1A,Oe_ tb i Control#' <br /> County Parcel No. (�4 2(p ZI c (,Zp oacon4 .. SubDIV: <br /> Address/Locatlon Z U _S <br /> Classificatlon/Type of Usq S f111 <br /> TRANSPORTATION-IMPACT FEE Rate: Sq.Ft Unit: . <br /> Exempt (]lfes 0 No How Determined <br /> Impact Fee Amount $. Zone No. TAZ: <br /> SCHOOL'IMPACT FEE <br /> ` Account (056) Single-Family Detached House Amount $ �. . <br /> (057) Mobile Home <br /> (058) Other;Residential <br /> 123) Collection Fee <br /> Exempt [�Yes. 0 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 []No How Determined <br /> LIBRARRyfEE <br /> Land'Account LanclVedit 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-O CCUPANCY-,WILL BE 1SOL INSPECTIONRAA <br /> PERFORMEDUNTIL THETOAL AM04T3 '1' D HAVE <br /> BEEN.RM.ANO. <br /> RECEIPTEM FOR BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY <br /> Ackito Wedgemant below does not Imply.acceptance of concurrence,but simply recsipt oFa,copy.of thla form placing <br /> the butiding'perinit owner•on notice of this assessment and the contlitions of payment for same. <br /> DATE RECEIVED BY <br /> -RECEIPT NO. DATE BY <br />