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ieeS6kyC <br /> PASCO COUNTY, FLORIDA <br /> Permit No. R(.5 e <br /> /( �[ Date Permitted / -2`1--/.0 <br /> Builder Name /Owner Name & /w�/ '/ / �J irc(C %trot # <br /> County Parcel No. 3525 2/ 6/3o- pdd dOd- SubDiv: <br /> Address /Location 7 416 8 CO n` 7/ TO <br /> Classification/Type of Use ( ni e 6 c - r ce <br /> TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: <br /> Exempt El Yes ❑ No How Determined <br /> Impact Fee Amount $ 2-6 / 26 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single - Family Detached House Amount $ /4- <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt u Yes LI 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 0 Yes No How Determined Total Amount b/ <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By 4.6-6 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 />