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mo { t �.� <br /> _ PASCO COUNTY, FLORIDA <br /> 1U�S e Permit No. <br /> Date Permitted SW • <br /> Builder Name /Owner Nameyl/�e Oy / ' Control # <br /> County Parcel No. 21 -2-IB ` _/ -001;10- vb i 0 -ooso SubDiv: <br /> Address /Location ;39 73.5 ail Ceti e �,, <br /> (/te L ct moth"( r a r <br /> y Jul I� r1 (/�*^^[ <br /> Classification/Type of Use �°� � YVl � )� 1 . � ` <br /> TRANSPORTATION IMPACT FEE • Rate: Sq Ft Unit: <br /> Exempt ❑ Yes ❑ No How Determined <br /> Impact Fee Amount $ Z3 p 6` Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single- Family Detached House Amount $ 0 <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 $ 6 <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 . / /e 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 /> RECEIPT NO. DATE BY <br /> • <br />