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PASCO COUNTY FLORIDA <br /> _''� i r a ; •` i� , <br /> u ` , Permit No. / 7 7 <br /> Date Fermi =d 0 1IM a <br /> Awes C ontrol # <br /> Builder Name /Owner Name Le-Ante r <br /> County Parcel No. 'Z -71 '-'62-30,66000-10ila SubDiv: t <br /> X 32 4 77 i bei( y L1 Wi 1 f t 1 0 <br /> Address /Location h Classification/Type v cation/Type of Use l ►� €- p_ I <br /> TRANSPORTATION IMPACT FEE Rate: • c Sq Ft Unit; I <br /> Exempt ❑ Yes ❑ No How Determined <br /> Impact Fee Amount $ . b Zone No. <br /> TAZ: <br /> • <br /> SCHOOL IMPACT FEE <br /> Account (056) Single- Family Detached House Amount $ s `. b <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 $ / ��• S� <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 /174 <br /> RESOURCE FEE . ERU <br /> TOTAL AMOUNT <br /> • <br /> Prepared By i 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 an notice of this assessment and the conditions of payment for same. <br /> • <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY • <br />