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r 4 '! o -G <br /> iii i; PASCO COUNTY, FLORIDA <br /> , <br /> Permit No. <br /> Date Permitted `�. -i <br /> Builder Name /Owner Name /74.4-/ (�9Yry_'I'l� # <br /> County Parcel No. 02- 24- 2 1- 064,0- eveko -0/0 SubDiv: <br /> Address /Location 3 Si 7 Aire. J2n e_ <br /> Classification/Type of Use Re ide." wP <br /> TRANSPORTATION IMPACT FEE Rate: .k3 Sq Ft Unit: J3 7 <br /> Exempt E Yes E No How Determined <br /> Impact Fee Amount $ 3l 3 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single - Family Detached House Amount $ 7 5 3 , 55 <br /> (057) Mobile Home <br /> (058) Other Residential <br /> J1 23) 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 $ 7 b 9.5,E <br /> Exempt _ Yes E No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt E Yes No How Determined Total Amount <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By /1 cJ U 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 />