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.* -1�' 4 <br /> + .a i� �, r - PASCO COUNTY FLORIDA <br /> Permit No, l 5 3 <br /> 1 _ Date Permitted /0- /S -69 <br /> Builder Name /Owner Name rr�r 5 Control # ' <br /> County Parcel No. 03- 2(0 - Zt '0 230 y T�15ubDiv: ■ �a - i'L� �� <br /> Address /Location 37 5 4 Aa.-a t (! ri RC( L 410 6 141 <br /> Classification/Type of Use ( 61.1 9(\ Vl 0`M'2_ / `` <br /> TRANSPORTATION IMPACT FEE . Rate: 96 ' `t Sq Ft Unit; f 5 3 1 <br /> Exempt [ Yes El No II How Determined <br /> ' Impact Fee Amount •$ 3�ccT Bo Zone No. TAZ: . <br /> SCHOOL IMPACT FEE 7 <br /> Account (056) Single - Family Detached House Amount $ ( , i <br /> (057) Mobile Home <br /> (058) Other Residential <br /> XI 23) Collection Fee <br /> Exempt _ Yes 0 No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total f <br /> Zone TOTAL AMOUNT $ 76? 5 o <br /> Exempt El Yes Ei No How Determined <br /> LIBRARY FEE • <br /> Land Account Land Credit Land Total. <br /> Facility Account Facility Credit Facility Total <br /> Exempt fl Yes L No How Determined Total Amount pi j$ - <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared B _ , 16/ j (J Checked Sy <br /> • <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 f� fib RECEIVED BY <br /> RECEIPT NO _11./49V � DATg ,,,I !JJ 8Y ��,:rr <br />