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Hik „ , _ ` PASCO COUNTY, FLORIDA <br /> Permit No, Qc3.57 <br /> Date Permitted <br /> Builder Name /Owner Name t�'"�'l`s' Control # <br /> /iVlc.t, <br /> County Parcel No. t33 -21- 0236— WOW-0580 SubDiv: <br /> Address /Location 41 /1 i ii > #sue <br /> Classification/Type of Use kal-11 `e-- <br /> TRANSPORTATION IMPACT FEE Rate: /t0/ Sq Ft Unit: /, s3 <br /> Exempt _ Yes [ No How Determined <br /> Impact Fee Amount $ 3, 480 • t O Zone No TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single - Family Detached House Amount $ / 7 S 7 1 1 6 <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt j 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 69 -5L <br /> Exempt J Yes [] No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt 1 Yes [ No How Determined • Total Amount /1)711- <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By II IV . 0 1 p y � - 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 riot 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. /6 DATE `.91 4 �9 BY C %CJ'P <br />