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`° , . PASCO COUNTY i �Il�li � � NTY FLORIDA <br /> Permit No, 50 <br /> Date Permitted 2Z <br /> Builder Name /Owner Name DeY1 LS4>i e C Control # <br /> County Parcel No. 2 `f -2 - 2 1-0000 -00 MO- SubDiv: <br /> Address /Location .59 735 OA-Ac <br /> (sk,e <br /> Classification/Type of Use /es►G ..- <br /> TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: <br /> Exempt ❑ Yes ❑ No How Determined <br /> Impact Fee Amount $. 2_,V5 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 L 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 $ <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 6 <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT , <br /> /, • • <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 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 /> • <br />