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• <br /> PASCO COUNTY, FLORIDA <br /> Permit No. g55 <br /> Date Permitted <br /> Builder Name /Owner Name Control # ' <br /> County Parcel No. b3 -026 DO000 - 6SY0 Su bDiv: <br /> Address /Location 70 7 Z )44.1-4-4,1 Jed 41 4 (o / ? 35/ <br /> Classification/Type of Use /OLIN') dwie_ <br /> TRANSPORTATION IMPACT FEE , Rate: /e)/ 9 s Sq Ft Unit / 5 3 <br /> Exempt L Yes L No How Determined <br /> Impact Fee Amount $ 3, Li60• Zone No. TAZ: <br /> SCHOOL IMPACT FEE / 77 <br /> Account (056) Single- Family Detached House Amount $ �fJ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> X123) Collection Fee <br /> Exempt _ Yes [i 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 $ 76'9.5 6 <br /> Exempt E Yes Q No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt [ Yes [] No How Determined • Total Amount 10rf <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By _ • 10)46%,# 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 />