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i i !' • <br /> I a ii l► r PASCO COUNTY, FLbRIDA <br /> Permit No. 965 <br /> f Date Permitted <br /> Builder Name /Owner Name � Y &r Control # <br /> County Parcel No. 03-2.6- (� ? 3O -v -b T( ubDiv: 1 land -2 rk <br /> Address /Location J� �P "tad-Ai ( n 1C L+ tq 131d <br /> Classification/Type of Use ( Ou) (l h yr €. <br /> TRANSPORTATION IMPACT FEE Rate: 9e ° 4 , Sq Ft Unit; 153 1 <br /> Exempt L Yes [] No How Determined <br /> Impact Fee Amount $ 3, 4S U Zo No. TAZ: <br /> SCHOOL IMPACT FEE t' <br /> Account (056) Single- Family Detached House Amount $ � t ` 157 t - '; ? <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 $ 7� % - 5 <br /> Exempt El Yes Q No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total • <br /> Facility Account Facility Credit Facility Total <br /> Exempt 0 Yes E] No How Determined Total Amount ki <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By (bp 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 <br /> J) � RECEIVE U :Y <br /> RECEIPT NO/4142_9./2,Z DATE li /�7� t.2i 9BY <br />