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• <br /> , PASCO COUNTY, FLORIDA <br /> j .. / U5O l <br /> Permit No. <br /> Date Permitted to -Z 2 <br /> Builder Name /Owner Name Dt , Yf Control # ' <br /> County Parcel No. <br /> 2 -2I- G O -O' V0 ubDiv: <br /> Address /Location 3 7,55 0 "^" ' P I <br /> Classification/Type of Use Sj dal; " , ML <kr ? -- It , • r _ . A/ / � <br /> TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: <br /> Exempt ❑ Yes ❑ No How Determined <br /> Impact Fee Amount $ . 2 3‘1S c) Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single - Family Detached House Amount $ (.7 <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 /> 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 0 <br /> RESOURCE FEE . ERU <br /> TOTAL AMOUNT <br /> Prepared By 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 /> • <br /> DATE . RECEIVED BY <br /> • <br /> RECEIPT NO. DATE BY <br />