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d'r <br /> PASCO COUNTY, FLORIDA` <br /> Permit No. <: <br /> Date Permitted d <br /> /�j i <br /> -Builder Name/Owner Name -4 I`7�1'nea, Control# '" <br /> County Parcel No. 25 2fe?(— d fjd-ddddb9-1 9bDiv: <br /> t Address/Location ? � <br /> i Classification/Type of UsQ <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt []Yes [] No How Determined <br /> Impact Fee Amount $. 5� o c32— Zone No. TAZ: <br /> SCHOOL IMPACT FEE // <br /> Account (056) Single-Family Retached House Amount $ ��t! <br /> (057) Mobile Home <br /> 4 (058) Other Residential <br /> 923) Collection Fee <br /> Exempt []Yes ..Q No How Determined <br /> PARKS AND RECREATION FEE- <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation <br /> //Total cc�� <br /> Zone TOTAL AMOUNT $ <br /> Exempt [l Yes ❑No How Determined` <br /> LIBRARY FEE <br /> Land Accounf Land Credit 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 OCCUPANCY WILL BE ISSUEQ OR FINAL.INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS 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 receipt of a.coo of thle.form,placing the building permit owner on notice of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />