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r <br /> PA8CQ COUNTY,fLORIDA <br /> E Permit No. „'( <br /> Date Permitted mod-� <br /> Builder Name/Owner Name Control#' " <br /> County Parcel No. -S 5 Z6 2 l ()/,SD 0 I,0()OZe)0SubDly: <br /> Address/Locatlon 765 r-go-aP 1"o�Yk-3r <br /> Classlftcationl ype of Usq <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2 <br /> Exempt ❑Yes Q No How Detemdried <br /> Impact Fee Amount $. 37 (.32- Zone No. TAZ: <br /> SCHOOL IMPACT.FEE <br /> Account (056) SinglgTFamily Detached House Amount $ <br /> (057) M6119-Home <br /> } (058) Other Residential <br /> 1 3). Coilectton Fee <br /> Exempt [�Yes..(Q Wo How Determined <br /> PARKS AND;RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total { <br /> Zone s TOTAL AMOUNT $ 761� <br /> •Exempt Q Yes ❑No How Determined� <br /> LIBRAR, FEE <br /> Land Account 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 CERTIFICATE OF OCCUPANCY;WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED uNTIL THE TOTAL AMOt#NTS LISTED HAVE <br /> BEEN PAID-AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply reoelpt of•a copy of We form,placing <br /> the building perimitcwner on notice of tole easessment and tha conditions of payment for same. <br /> DATE RECEIVED BY 77 <br /> RECEIPT NO. DATE BY <br />