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(it ;• <br /> Hir'E PASCO COUNTY, FLORIDA <br /> O1F1� ?� <br /> Permit No. /0 on <br /> Date Permitted - Z.& <br /> Builder Name /Owner Name / 4 r - Control # <br /> f1 r <br /> County Parcel No. ()3 - )G —/ -0230 — woo- 0684 SubDiv: / >' k <br /> Address /Location 377/0 1W yn ied ,61� <br /> Classification/Type of Use if /✓1 A /Yrle <br /> TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: /6 / <br /> Exempt L Yes 111 No How Determined <br /> Impact Fee Amount $ 3, 4 So. Zone No. TAZ: <br /> SCHOOL IMPACT FEE ,/ <br /> Account (056) Single- Family Detached House Amount $ / , 75 7 �` <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt E 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 $ r f 69. Jk <br /> Exempt L Yes ❑ No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt L Yes 11 No How Determined Total Amount <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 /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />