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•.(1 C(t /2 /j, <br /> • <br /> PASC0 COUNTY, FLORIDA <br /> Q <br /> • Permit No. eggU <br /> Len Date Permitted <br /> Builder Name /Owner Name /\&.y Control # <br /> 2v0 1bDIV: 5f f � p ldWnI. <br /> County Parcel No. 3 �Z ,/ 2 . <br /> Address /Location 3 '1 I'i• 1 Lin 33 <br /> Classification/Type of Use 1 tTh `...h. - 1 <br /> TRANSPORTATION IMPACT FEE • Rate: 9 �� 5q Ft Unit: 3 1 <br /> Exempt ❑ Yes ❑ No How Determined <br /> Impact Fee Amount $ 3 4 € ©• Zone No. TAZ: <br /> SCHOOL IMPACT FEE U <br /> Account (056) Single- Family Detached House Amount $ I f - 157 T1" <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 $ 014 5‘" <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 G &t? <br /> , <br /> Prepared By jaw • 4111114 Checked <br /> a 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 ///` `} �j RECEly DD BY <br /> RECEIPT NO. // �/ / 7/ DATE // & c) Y °b <br />