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() C <br /> • <br /> PASCO COUNTY, FLORIDA <br /> Permit No. • if 7 <br /> 1 Date Permitte' MI:/ 6 <br /> L' <br /> Builder Name /Owner Name e✓. n 0-,- j Control # ' <br /> County Parcel No. 35-2 Z ' 62 b - ' / 7 ) Su bDiv: .Li I OJV� • rim <br /> Address /Location&33e — TIYIN be 4.1 P 08. 1 ( 1 <br /> Classification/Type of Use ()A) (\ `G & <br /> TRANSPORTATION IMPACT FEE . Rate: ` 1� Sq Ft Unit; C ( x.33 i <br /> Exempt ❑ Yes ❑ NNo How Determined <br /> Impact Fee Amount $ st" 06 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single- Family Detached House Amount $ 1 i 57- <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 $ 7 (.9 (` SC, <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 Yll4 <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 condUions of payment for same. <br /> DATE. RECEIVED BY <br /> RECEIPT NO. DATE BY <br />