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s PASCO COUNTY,-FLORIDA <br /> Permit No. <br /> p Date Permitted <br /> 'Builder Name/Owner Neme D F— Control#' <br /> County Parcel No. 3 2-..Zc_Z_1 f�6 O 1,3tb 0//,0 SubDIv. �S f ItJe <br /> Address/Location c � 3S CZ —ClYi <br /> ClissiticationlType of Usk r <br /> TRANSPORTAT-ION,IMPACT FEE . Rate: Sq.Ft Unit: <br /> Exempt L]Yes [].No How Determined <br /> ImpdcrFee Amount $,3l 43 2 Zone No. TAZ: <br /> SCHOOL'IMPACTFEE_., <br /> Account ' ( e), SlriWe=Family petached House Amount $ <br /> i '(057) Mobile'Home <br /> (055) Other Residential <br /> 423)• Collection Fee <br /> ` Exempt [ Yet..Q No How Determined <br /> PARKS`ANtl-RECWTION'fEE- <br /> L.and-Abcount Land Credit • Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone _ TOTAL AMOUNT $ '2 6 <br /> Exempt Q Yes []No How Determined <br /> LIB,RW FEE <br /> Lan0.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 /> TOTALAMOUNT <br /> Prepared By -; Checked By <br /> NO CERTIFICAT-0 OF;OCCUPANCY WILL BE ISSUED.OR FINAL INSPECTION <br /> PERFORMED.UNTIL THE TOTAL:AMCLlNTS LISTED HAVE <br /> BEEN'PAID AND <br /> RECEIPTED FOR SY A CENTRAL PERMLT A 00ACE.OF PASCO COUNTY <br /> Ackitowledgement.below does hot Imply acceptance of concurrence,but simply racelpt of.p copq..of this form,placing <br /> the;diultdtng pahalt owner on notice of this assessment Md-tho conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />