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PASCO COUNTY, FLORIDA <br /> Permit No. 98 7 <br /> Q r� / Date Permitted <br /> Builder Name /Owner Name 61 1 L {4Le Control # <br /> County Parcel No. 2S 21- D/ 50- 06000 - 3VniubDiv: <br /> Address /Location 3 7,1 /9 /t/eakorh 4s -e.. C6 F . --35/4 <br /> of Use /1'1bbe /e M•e rr , /1, v„44 <br /> TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: <br /> Exempt ❑ Yes ❑ No How Determined <br /> Impact Fee Amount $ ..9 403 2 - Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single - Family Detached House Amount $ /0 /A <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 12ol <br /> Exempt Yes 3) C — No lection Fee 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 $ 5 73, 7 3 <br /> Exempt 111 Yes E No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt Yes El No How Determined Total Amount / <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By <br /> �` = Checked By <br /> IF 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 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 />