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frai f.,m ,Wr ti,ti) e T- pitmco, 3 <br /> �,I o � � �� ter �� 33 5Z3 <br /> `4 ��IFI'H l4.4; PASCO COUNTY, FLOR . <br /> It <br /> 8124'1 <br /> Permit No. / d <br /> A' Qii/r Plt-S Date Permitted • - 20 ' <br /> Builder Name /Owner Name a CJ�C Control # <br /> County Parcel No. 63 - ^ zl - 0130 .. ()C)(66 2 /56bDiv: <br /> Address /Location (/ 3 S � / 7 ° j /1 r ��� �f e bc Ld #r 7 <br /> Classification/Type of Use ie deri?4C, <br /> TRANSPORTATION IMPACT FEE . Rate: Sq Ft Unit: /'4' 7" <br /> Exempt _ Yes [ No How Determined <br /> • Impact Fee Amount $ ,3 32- Zone No. TAZ: <br /> SCHOOL IMPACT FEE �[ <br /> Account (056) Single - Family Detached House Amount $ 2-,09 -7 7 <br /> /� — <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt L Yes E. No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total �7 <br /> Zone TOTAL AMOUNT $ 573 / ' 3 <br /> Exempt ❑ Yes ❑ 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 N/44 <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By , /• t!� <br /> 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 />