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PASCO COUNTY, FLORIDA <br /> _ Permit No. <br /> n J r Date Permitted 2_2--2h <br /> Builder Name/Owner Name Control W <br /> County Parcel No, 3,5 7-T_ Z./ 6 I�IZ) b C190Ur80SubDiv: h- <br /> Address/Locatlon d &arlPOD �j)r' <br /> Classffication/Type of Usq �— F <br /> TRANSPORTATION IMPACT FEE . Rate: Sq.Ft Unit: 36 2- <br /> Exempt' []Yes [] No How Determined <br /> Impact Fee Amount $.& 3�1 Zone No. TAZ: <br /> r <br /> . SCHOOL IMPACT FEE //// <br /> Account (056) Single-Family Detached House Amount $ �� V11, <br /> 2-6 <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt n Yes..❑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 $'76 9 y (� <br /> Exempt ❑Yes ❑No How Determined' <br /> LIBRARY FEE \ . <br /> Land 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 /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AM04NTS 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 copy of this form,placing <br /> the building permit owner.on nonce of this assessment and the condMions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />