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I t ; PASCO COUNTY, FLORIDA <br /> n <br /> Permit No. <br /> Date Permitted 6 <br /> Li-4 Name /Owner Name /61 — �t i° Control # <br /> n cc. <br /> County Parcel No. 0 3 - 2 - 6 - 2 - 1 -02-3o -tJO o- L.,(16) SubDiv: 67O_nG4 PCc r l� <br /> Address /Location 3-765z- l l n i d B ido 5 L ± -T <br /> Classification/Type of Use lD i)) n I IOM c1 ` 7 <br /> TRANSPORTATION IMPACT FEE Rate: 9 • (t 7 Sq Ft Unit; / 53 / <br /> Exempt LI Yes [] No How Determined <br /> • Impact Fee Amount $ 3 ( 8 o Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single- Family Detached House Amount $ � 757. Sep <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt L Yes 0 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 $ 7699. 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 0 No How Determined Total Amount /t-Yfr <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By <br /> Checked sy <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 <br /> J / RECEIV BY <br /> RECEIPT NO._41h/) �/; DATE W <br />