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diFil �1� PASCO COUNTY, FLORIDA <br /> Permit No. ge3/ <br /> Date Permitted , 5-d9 <br /> Builder Name /Owner Name `ca ,G U i Control # <br /> County Parcel No. 62 /0 —(6 01SubDiv: <br /> Address /Location 3 8 Cg ( Z ett 4- y Rd <br /> Classification/Type of Use to d ►'rv/Vt'e -rC-► a-C <br /> TRANSPORTATION IMPACT FEE Rate: / 2- J - 7`3 Sq Ft Unit: f, 1 i 8 <br /> Exempt Yes I ( No How Determined <br /> • Impact Fee Amount $ 2, (o 0. 0 2 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single - Family Detached House Amount $ /OM <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt L e i Yes n 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 $ ( - <br /> Exempt n Yes n No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt H Yes U No How Determined Total Amount N( <br /> RESOURCE FEE / - g 133 ERU ® ) S <br /> TOTAL AMOUNT (j *�3 �v � <br /> Prepared By c� Checked B <br /> �� By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION 1� �/ <br /> PERFORMED UNTIL. THE TOTAL AMOUNTS LISTED HAVE C� <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 thls assessment and the conditions of payment for same. <br /> DATE /� REC ED BY <br /> v <br /> RECEIPT NO. (1 v 6. 7 / <br /> A TE u' ( / v ` BY A i / <br />