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"1 Ilt PASCO COUNTY, FLORIDA <br /> • <br /> • Permit No. A 6q5 <br /> � ,,""� WC/lle Date Permitted <br /> Builder Name /Owner Name Left^ aA' Control # <br /> County Parcel No. 0�3 " ' 0230 -00`W - b j SubDiv: `` P r-k <br /> Address /Location 5 1 6 �' ri� �'1 r \mil "' 1"` �' 40 <br /> Classification/Type of Use '-- 11)11-)A. , `Om C.— g <br /> TRANSPORTATION IMPACT FEE , Rate: `, ( . V 3 Sq Ft Unit: 1 , 31 l <br /> Exempt ❑ Yes ❑ No How Determined <br /> ' Impact Fee Amount $ 3 g 0 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single - Family Detached House Amount $ (15 <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 $ CO 1 ` 56 ' <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 r <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By ( 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 fomi, 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 .47(�i - DATE a` ??BY GL•47‹ <br />