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Vi <br /> � IFii `i, PASCO COUNTY, FLORIDA <br /> ^ t j O tt 11i, � / <br /> Permit No. •/Q 6J <br /> Date Permitted 6-- 240--/o <br /> Builder Name /Owner Name / oil') wes Control # <br /> County Parcel No. 3 ; -2f -o2 o- ao0oo -- d6 SubDIv: / 5 <br /> Address /Location 3772_0 4 r f»'7 /t G( 4/ 9 e 7 , � <br /> Classification/Type of Use C ALM Y( rf7e._ <br /> TRANSPORTATION IMPACT FEE Rate: 5q Ft Unit; /53) <br /> Exempt ❑ Yes ❑ No How Determined <br /> Impact Fee Amount $ 3 , 119C) , Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single - Family Detached House Amount $ /i 75 . <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt L 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 $ 70, 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 ❑ No How Determined Total Amount / WA -- <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By g Checked ay <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 <br /> RECEIVED BY <br /> RECEIPT NO. DATE BY <br />