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a ;ii a t P ,ASCO COUNTY, FLORIDA <br /> ..'r,Dt, • ►t, ✓r <br /> Permit No, <br /> Date Permitted O -C 9 <br /> �/ . <br /> Builder Name /Owner Name 1.e.A.(\aftr `kV-PP/VC-- Control # <br /> County Parcel No. t? 3- - 0 Z30 OD - SubDiv: E r ( nd 'Par' ` <br /> Address /Location '] C 5 6 tck <br /> Classification/Type of Use --T (\ r `c yy _ <br /> TRANSPORTATION IMPACT FEE , Rate: C I 8 • ' - 1 Sq Ft Unit: l / 3 1 <br /> Exempt [ Yes [ No How Determined <br /> ' Impact Fee Amount $ 3 $ c, Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single - Family Detached House Amount $ , 1 7 I. '' <br /> (b O <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(, • SG <br /> Exempt El Yes 0 No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total. <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑ Yes E No How Determined • Total Amount /014 <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 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. //_ %,W,/ DATE /22, - 1Y 64) <br />