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PASCO COUNTY, FLORIDA <br /> ti tzl ?t / U 8 7 <br /> Permit No. <br /> Date Permitted , -Z6 -f6 <br /> Builder Name /Owner Name �h �Qr !��' "'�°� Control # <br /> County Parcel No. 3 ` 2-6 --2-/-b 2 - e6m0 -67O SubDiv: / !— <br /> Address /Location 3 7 72 T 4,i dpi 4 l4 # 7 70 <br /> Classiflcationffype of Use (,04 `l81'� - tom 2 <br /> TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: / J 7( <br /> Exempt fl Yes El No How Determined <br /> Impact Fee Amount $ 3, 5te0 Zone No. TAZ: <br /> SCHOOL IMPACT FEE ,,// <br /> Account (056) Single- Family Detached House Amount $ 1 757 V° <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 1 23) Collection Fee <br /> Exempt 11 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 $ 76 9 cS� <br /> Exempt L Yes L No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt L Yes [] No How Determined Total Amount " <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT . <br /> • <br /> Prepared By 1 / Checked i3y <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 />