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Iii -1��' PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted 6 - — IC <br /> Builder Name /Owner Name 4 -‘e`) KKK 4 1/4 e S Control # <br /> County Parcel No. 2 -- Z(- 0230 — Nr)th- � e(�j o SubDiv: <br /> Address /Location 37 7 /4 �� 1 h I / W� 0 7 # O k <br /> y <br /> Classification/Type of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: /53/ <br /> Exempt El Yes El No How Determined <br /> Impact Fee Amount $ 3, V hd • Zone No. TAZ: <br /> SCHOOL IMPACT FEE ` <br /> Account (056) Single - Family Detached House Amount $ /i 75 / <br /> 7 ` 4) <br /> (057) Mobile Home <br /> (058) Other Residential <br /> .123) Collection Fee <br /> Exempt _ Yes El 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 $ 76 9• 5, ' <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 L No How Determined Total Amount ' O//- <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By `b 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 />