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4 <br /> 2 _ <br /> PASCO COUNTY, FLORIDA <br /> _ Permit No. <br /> �// Date Permitted 2- <br /> ~Builder Name/Owner Name gft �N°L'� L�+ ►� < 1 Control#' <br /> County Parcel No. JL1 2-v 2/4 f 8 0 0d0D 03-2 70 SubDiv: <br /> Address/Location 3 7 1 Of Corey IQ4, AV, <br /> ClassIflcationlrype of Use m dk,l <br /> ! TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: _ <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $. l 37i• Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt � Yes ❑ No How Determined <br /> 4 <br /> 4. PARKS AND RECREATION FEE' <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation•Total <br /> Zone TOTAL AMOUNT <br /> y,. Exempt ❑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 ISSUED 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 recelpt of a copy of this form,placing the building permit owner.on notice of this assessment and the conditions of payment for some. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />