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` ' i l' <br /> . 4. sip iI Lic. : PASCO COUNTY, FLORIDA <br /> j ,,;,:t - 9 5 1 " -5— Permit No. <br /> Date Permitted i� —0 <br /> Builder Name /Owner Name i/‘ clad Control # ' <br /> County Parcel No. 3 � Z5 - /-009d O'"'6 (f SubDiv: <br /> Address /Location 37 5</ 1 . 5 / !Ur- 7 7 <br /> Classification/Type of Use 44 the (e /kesl del 17 <br /> TRANSPORTATION IMPACT FEE , Rate: Sq Ft Unit:: <br /> Exempt 0 Yes 111 No How Determined <br /> Impact Fee Amount $ 30 2 Zone No. TAZ: <br /> SCHOOL IMPACT FEE r,1�. <br /> Account (056) Single- Family Detached House Amount $ t;J <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt 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 $573. 73 <br /> Exempt ri Yes E 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 a <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By 7 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 /> RATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />