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C(i <br /> 0' . r PASCO COUNTY, FLORIDA <br /> • . Permit No 1 //(O <br /> Date Permitted //-1.5 iO/ <br /> Builder Narr /Owner Nam ,,; ; _' �� /_ ontrol # <br /> County Parcel No. , - f - 0 9' `"OV Z)C 'Og' S ubDi i ?f �/.'�_. <br /> Address /Location -�gry7 ay, v <br /> Classification/Type of Use ---' ./' / )4L�- ,ice i — /1,7 7 ` <br /> TRANSPORTATION IMPACT FEE . Rate: Sq Ft Unit; <br /> Exempt I i Yes Wi No How Determi ed <br /> ' Impact Fee Amount $ 3 t 6 3 � ,L co ., e No. TAZ: <br /> rr 1 <br /> SCHOOL IMPACT FEE <br /> Account (056) Single- Family Detached House Amount $ <br /> r . <br /> (057) Mobile Home .,- - -> .._ <br /> (058) Other Residential <br /> 12 ' Collection Fee <br /> Exempt es [] No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone 0 TOTAL AMOUNT $ : � r 73, i <br /> • ye/ //' / <br /> Exempt n Yes [ No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ( Yes fl No How Determined Total Amount <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT S• 0'7 <br /> Prepared By ; ,/.l - A ,E ,_ 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 tho conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />