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;�, _11 :J ; 1 PASCO COUNTY, FLORIDA <br /> ' .c1t0 929 Y' <br /> Permit No. <br /> Date Permitted V 5-0 9 <br /> Builder Name /Owner Name �9u,1a » (� Control # <br /> County Parcel No. 01- 2- -2 / -0 2 -0000 O'0O SubDiv: <br /> Address /Location (0 6 & Ned ' C g 1 t ' ' ad 4 "l t- <br /> Classification/Type of Use 0 OVV'/Ilif.r Cap q/} <br /> TRANSPORTATION IMPACT FEE Rate: "7 f, 39 Sq Ft Unit: 2 9 / <br /> Exempt ❑ Yes 11 No How Determined <br /> Impact Fee Amount $ / 7, 793.07 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single- Family Detached House Amount $ NA <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt Yes ❑ 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 $ /V R" <br /> Exempt 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 ' <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By <br /> g,,,.. � } Checked By <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 RECEIVED BY <br /> RECEIPT NO. DATE BY <br />