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- ii�- It PASCO COUNTY, FLORIDA <br /> Permit No. /// 'XCI <br /> Date Permitted <br /> Builder Name /Owner Name 8 , r I a i` s control # ' <br /> County Parcel No. 3‘1 `� 2 ()O 2 a Q At v: UJ "'aid 472' <br /> 720 -') <br /> Address /Location 3 ! 76 7 `i a .K nq 7 t& id 1 A9 <br /> Classification/Type of Use /4,A h' 'eti d6/ /e ghlk- <br /> TRANSPORTATION IMPACT FEE . Rate: Sq Ft Unit; <br /> Exempt ❑ Yes ❑ No How Determined <br /> Impact Fee Amount $ k3 2- t7 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single- Family Detached House Amount $ t <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt 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 $ S73. 7.3 <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 <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared rmi <br /> R, 6c._ Checked By <br /> o 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 />