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PASCO COUNTY, FLORID <br /> Permit No, f Z-_5 v <br /> Date Permitted (2-t 7-Z-o <br /> -Budder Name/owner Name Control# <br /> County Parcel No. `3 Z 2-5 2-1 040 Z 'LCO OpSO SubDiv: <br /> Address/Location j D-2 I' T 2(a,v- t3 tacd Q.- Dom' <br /> Classification/Type of Usg <br /> TRANSPORTATION IMPACT FEE 1 Rate: Sq.Ft Unit: , <br /> Exempt ❑ fifes [] No How Determined <br /> Impact Fee Amount Jt Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> f Account (056) Single-Family Detached House Amount $ q . <br /> (057) Mobile Home <br /> i (058) Other Residential <br /> 12, Collection Fee <br /> Exempt [] 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 $ ' x <br /> Exempt ❑ Yes ❑ 'No How Determined <br /> �iIU�I�YIY� �■1 ■I�YII - . IY�Y! YIIYY�Y I • IIY 1■ I`YYYLY ■1 YY�O�YYYI <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 Chocked By <br /> I <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUEE1 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 copy of this form,placing - <br /> the building permit owner on notice of this assessment and tho conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />