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ill (it / ". <br /> PASCO COUNTY, FLORIDA <br /> tOY' �V lam/ <br /> Permit No. <br /> Date Permitted a <br /> Builder Name /Owner Name /..L°/1 /'a-r rl�s Control # <br /> County Parcel No. 63 -4 - 6 2 3o-61000-06k SubDiv: Lam / Ar <br /> Address /Location 377/Z ilitnatr /Cd '81vj # 7 #45 <br /> Classification/Type of Use I fJ7/"ii A4/11e <br /> TRANSPORTATION IMPACT FEE . Rate: Sq Ft Unit: 5 <br /> Exempt [ Yes ❑ No // How Determined <br /> Impact Fee Amount $ 3/'1'5X7. Zo No. TAZ: <br /> SCHOOL IMPACT FEE l/ <br /> Account (056) Single - Family Detached House Amount $ / j 7571 Td <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 $ 7109. 54 <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 <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By 4 -1110 1t -- 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 />