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QI-0/�; • <br /> 1 " `, PASCO COUNTY, FLORIDA <br /> , '.'t co.co. <br /> Permit No. BS 8 (co <br /> / Date Permitted <br /> Builder Name /Owner Name LeY\,t1O-4'" i-601-e— Control # '_ I <br /> County Parcel No. 63 -26 - 2 - t - 0) (� t +, <br /> Address /Location 3 7 ( <br /> (2 2- B v P) r i lI }di ' 43'c <br /> Classification/Type of Use l j EL le -Q //� 2 <br /> TRANSPORTATION IMPACT FEE • Rate: Ci f ( Q' 83 Sq Ft Unit: 1 � <br /> Exempt ❑ Yes ❑ No How Determined <br /> Impact Fee Amount $ Zone No. TAZ: , <br /> SCHOOL IMPACT FEE <br /> Account (056) Single - Family Detached House Amount $ ` <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 $ 76) 66 <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 0 No How Determined • Total Amount v <br /> RESOURCE FEE / ERU <br /> TOTAL AMOUNT 0 I l � , 1/ <br /> Prepared By s 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 condiUons of payment for same. <br /> DATE . RECEIVED BY <br /> rceccIr ° r Na. � DATE ,j 4z2ttviz BY W((. <br />