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1 <br /> �+ Permit No. <br /> Date Permitted 9' 25" <br /> Builder Name/Owner Name A1,061 <br /> troi# <br /> County Parcel No. jf 2- 2 06,10 a6 0 01 f SubDiv: <br /> Address/Location Z �! <br /> 4� <br /> Ciassiflcationtrype of Us@ c�1d I le L <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑Iles ❑ No Deter road �f <br /> impact Fee Amount Zone No. TAZ: <br /> SCHOOL IMPACT FEE jl <br /> Account (056) Single--Family Detached House Amount <br /> (057) Mobile Home <br /> :. (058) Other Residential <br /> 123) Collection Fee <br /> Exempt U Yes ❑ No How Determined <br /> l 4 <br /> s. PARKS AND RECREATION FEE- <br /> Land Account Land Credit Land Total <br /> 1: Recreation Account Recreation Credit Recreation Total <br /> � Zone TOTAL AMOUNT $ <br /> Exempt ❑ Yes ❑ No How Determined <br /> LIBRARY FEE <br /> Land Account hand Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> t. Exempt ❑ Yes ❑ No How Determined Total Amou <br /> 4 RESOURCE FEE ERU ' <br /> TOTAL AMOUNT <br /> I <br /> Prepared By 4 Checked By ! <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AildllOI)NTS LISTED HAVE i <br /> SHER PAID AND <br /> RECEIPTED FOR'BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY � <br /> i <br /> i <br /> ,Acknowledgement below does not imply acceptance of concurrence,but simply receipt of•a copy of this form,piecing � <br /> the building permit owner.on notice of this assessment and the conditions of payment for same. <br /> i <br /> ' I <br /> DATE RECEIVED BY <br /> _ i <br /> RECEIPT NO. DATE BY <br />