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•'' -: } C°O /% <br /> .4. 4 . i PASCO COUNTY, FLORIDA <br /> S ri ,. :- „.4,,,. . y1 <br /> Permit No. ° Oi <br /> Date Permitte ' – i <br /> Builder Name /Owner Name `c <br /> )4me �l1 Control # <br /> County Parcel No. d2 - 2 4 u `o o (6-0 460 – )Sf SubDiv: <br /> Address /Location (3866 8 U y K Ed <br /> �J <br /> Classification/Type of Use Oem c <br /> TRANSPORTATION IMPACT FEE Rate: 1 Z 5 93 Sq Ft Unit: 4 /(08 <br /> Exempt I I Yes I ( No H ow Determined <br /> ' Impact Fee Amount $ 2 04 <br /> " d y Zone No. TAZ: <br /> SCHOOL IMPACT FEE ' <br /> Account (056) Single - Family Detached House Amount $ /01 <br /> (057) Mobile Home <br /> (058) Other Residential <br /> (123) Collection Fee <br /> Exempt 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 $ it)/4 <br /> Exempt Yes III No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt 1 1 Yes 1 I No How Determined Total Amount A <br /> TTOTA l ' x ( 3 j ciu-1 S ^ t ERU „, <br /> Prepared By + Che c ked By ,3_,,_,__.,--- <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 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 / / 9 RECEIV o ' BY <br /> RECEIPT NO. Oil 6 7 ( �r " - DATE � I BY <br />