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• •1) � (i�; , I <br /> • =' <br /> PASCO COUNTY, FLORIDA <br /> ;� <br /> 1 -) V +I � 8� b <br /> Permit No. <br /> Date Permitted <br /> Builder Name /Owner Name <br /> Ye. Control # ' <br /> 26— T325-30— b' °` <br /> County Parcel No. �' 4 - ' 3 Address /Location 3 '7 'O 3 <br /> Classification/Type of Use 1 " `w� <br /> TRANSPORTATION IMPACT FEE • Rate: 110 83 Sq Ft Unit: 1 5,3 1 <br /> Exempt ❑ Yes ❑ No � How Determined <br /> ` <br /> Impact Fee Amount $ 5 T F) 0 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single - Family Detached House Amount $ 1 1.5 - 7 • q_a <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 $ 1 769 • 5 6 <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 0 <br /> RESOURCE FEE ERU ' <br /> TOTAL AMOUNT <br /> • <br /> Prepared By liv t 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./776 DATE (i /a efBY £ 42 <br /> • <br />