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PASCO COUNTY, FLORIDA Permit No. 7 4 if 7 Date Permitted 2 - s.-vg Builder Name/Owner Name Wi^wo...rol ~ County Parcel No. 0 t/-ZfJ -2-I-oD~D~D{j?oO -OoSo SubDlv: Address/Location 3 to 1 0 5 :s hOod r . 5/ l.Lf-/) t.p ClassificationlType of US\? ..Ji~ Jt.~ rru 17 TRANSPORTATION IMPACT FEE. Rate: Control # S lverA-d6 10 -f -#=-5 Sq Ft Unit: Exempt 0 Yes 0 No How Determined Impact Fee Amount $ .158 S, DD Zone No. SCHOOL IMPACT FEE Account (056) Single-Family Detached House (057) Mobile Home (058) Other Residential J.:123) Collection Fee Exempt U Yes 0 No. How Determined TAl: Amount $ '-{-B2--8. (>1> PARKS AND RECREATION FEE. Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total TOTAL AMOUNT $1 ~ cr." '5 h Zone Exempt 0 Yes 0 No LIBRARY FEE Land Account How Determined Land Credit Land Total Facility Account Facility Credit Facility Total Exempt 0 Yes 0 No RESOURCE FEE TOTAL AMOUNT How Determined Total Amount ERU Prepared By 9. &r Checked By NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOl!NTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY Acknowledgement below does not Imply acceptance of concurrence, but simply receipt of a copy of this form, placing the building permit owner on notice of this assessment and thEl conditions of payment for same. DATE RECEIVED BY RECEIPT NO. DATE BY