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tt (i( <br /> • <br /> /a � PASCO COUNTY, FLORIDA <br /> r, a i Permit No. <br /> • Date Permitted /ate ri <br /> Builder Name/Owner Name � D1T)l e s' Control # <br /> • <br /> County Parcel No. 2`t 2-w "Z /.. - 'DSubDiv: <br /> • <br /> Address /Location 39'735 % a4't ce " ` y SG�te M�f <br /> Classification/Type of Use i(es; -i-r i # 'f r 8 �I /4, p _AI <br /> TRANSPORTATION IMPACT FEE . Rate: Sq Ft Unit; <br /> Exempt ❑ Yes ❑ No How Determined <br /> Impact Fee Amount $ . 23q 5t GZ Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single - Family Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt Yes ❑ 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 $ n <br /> • <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 <br /> RESOURCE FEE . ERU - <br /> TOTAL AMOUNT <br /> Prepared By A 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 on notice of this assessment and the conditions of payment for same. <br /> DATE . RECEIVED BY <br /> RECEIPT NO. DATE BY <br />