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a <br /> PASCO COUNTY, FLORIDA <br /> Permit No. ( i 7 12, <br /> Date Permitted <br /> Builder Name /Owner Name � Control # <br /> County Parcel No. 3 5(4-25-2/ -U/go- 0003 n _3510 SubDiv: 6' SCR .d fry 2cln <br /> Address /Location 7 Pi Z 7 j U..' / `t f <br /> Classification/Type of Use /Z y fri /o <br /> TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit; <br /> Exempt ❑ Yes 0 No How Determined <br /> Impact Fee Amount $ 3, &3 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single- Family Detached House Amount $ Q <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt L Yes 0 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 $ 575. 7 3 <br /> Exempt 0 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 D <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By 13) Checked Sy <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 concurrenpe, but simply receipt of a copy of this form, placing <br /> 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 /> • <br />