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c � C{ [ i <br /> i L ilt ii i .,_..r ` PASCO COUNTY, FLORIDA <br /> .4(, RIO <br /> ,Q �� p <br /> Permit No. �U 7 / <br /> Date Permitted <br /> Builder Name /Owner Name L len Control # <br /> County Parcel No. n3- - 21 - r)230 --Ma.,... -t b <br /> Address /Location ,.37 W7C, 4-4.0q-4/ii /Ct&/ 9/6/� 6 Sb <br /> Classification/Type of Use - 7 - 63W1 ACM1 `P <br /> TRANSPORTATION IMPACT FEE . Rate: Ai -95 Sq Ft U nit: 1531 <br /> Exempt ❑ Yes ❑ No How Determined <br /> ' Impact Fee Amount $ 3)48 Zone No. TAZ: <br /> SCHOOL IMPACT FEE / <br /> Account (056) Single - Family Detached House Amount $ // 757.n <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt LI 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 6 9. 54 <br /> Exempt 0 Yes El 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 /OM <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By . <br /> OF r <br /> , I ) ; 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 thls form, placing <br /> the building permit owner an notice of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />