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.a <br /> PASCO COUNTY, FLORIDA <br /> t,fitt to. <br /> � <br /> Permit No. <br /> Date Permitted - z1,040 <br /> Builder Name /Owner Name Len /1 Lt. -Y iliyytes Control # <br /> mi 4 <br /> County Parcel No. /93 —2-/-6236-6000 ubDiv: �!/ <br /> Address /Location 3 7 7I r 411 hi Wj #o*C3- <br /> Classification/Type of Use /Occ) & <br /> TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: /5 / <br /> Exempt 0 Yes Q No , How Determined <br /> / <br /> Impact Fee Amount $ 3, `t" &o Zone No. TAZ: <br /> SCHOOL IMPACT FEE L` <br /> Account (056) Single - Family Detached House Amount $ /i 757 Va <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt Yes D 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 $ /6f. 5,C <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 D Yes No How Determined Total Amount /V <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 />