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O co <br /> Flf. • <br /> A, �_�� -----_t:‘ i , . PASCO COUNTY, FLORIDA <br /> • Permit No. <br /> Date Permitted <br /> Builder Name /Owner Name j � `f't��'r1 ' Control # <br /> County Parcel No. 03-- 2- - 2-1- 0 2-3o - 00 000-051 b SubDiv: <br /> Address /Location 37 kf t i' 1 £ d fidd 6 • 5 1 <br /> rr <br /> Classification/Type of Use /6We1 �1OWI €, <br /> TRANSPORTATION IMPACT FEE . Rate: IN, 9 5 Sq Ft Unit: J, 3 7 <br /> Exempt 1 I Yes No How Determined <br /> Impact Fee Amount $ . 34 60-06 Zone No. TAZ: , <br /> SCHOOL IMPACT FEE <br /> Account (056) Single- Family Detached House Amount $ / 157• i a <br /> (057) Mobile Home <br /> (058) Other Residential <br /> (123) Collection Fee <br /> Exempt 1 Yes n 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(09- 5 <br /> Exempt I 1 Yes U No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt 1 1 Yes 1 1 No How Determined Total Amount OA <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By 9., } Checked 13y <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 thQ conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO /4cL/ DATE /2/2‘,21-1) ?BY , <br />