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r 1 PASCO COUNTY, FLORIDA <br /> Permit No. 951.1$ <br /> / , Date Permitted <br /> Builder Name /Owner Name 464 f1u r S�-ferne ' Control # <br /> County Parcel No. :73 _2(0 - n 2/ - D2 — 000OU OS� SubDiv: <br /> Address /Location 3 7 6 64 NSA - �y / r) Id /d�� 5 L <br /> Classification/Type of Use � v. `/ 0Y► -t ° L <br /> TRANSPORTATION IMPACT FEE . Rate: /o /f 95 Sq Ft Unit; /3 7/ <br /> Exempt E Yes [l No How Determined <br /> Impact Fee Amount $ 33, 4 to • Ov Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single - Family Detached House Amount $ 1 75 7. �6• <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 $ 71,9. 54 <br /> Exempt 0 Yes j No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt 0 Yes 0 No How Determined Total Amount » /f <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. DATE BY <br />