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= :r pA�CO COUIVTY, FLORIDA <br /> Permit No. _l� <br /> Date Permitted _ 30- �! <br /> � <br /> Builder Name/Owner Name �� n/�0. r �S �� _ Control # <br /> - �p � � `�G�f � <br /> County Parcel No. Z�3� Z�� 2( D Z3G� C�C)C'��b � lpSubDiv: i�-� <br /> Address/Location J� 7 �D J`� �-F�'?�� �� ""� �'�� � � � 9 -- <br /> Classificallon/Type of Us� ��ES, G�e ✓Z`�' � ��L'' � h�� <br /> TRANSPORTATION IMPACT FEE � Rate: Sq Ft Unit: I 3� I <br /> Exempt � Yes [] No Haw Determined <br /> Impact Fee Amount $ 3 LI `� �• Zone No. TAZ: <br /> SCHOOL IMPACT FEE /, <br /> Account (056) Single-Family petached House Amount $ ���7 ��'t d <br /> (057) Moblle Home , <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt � Yes � No How petermined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zane TOTAL AMOUNT $� F� � S� <br /> Exempt � Yes � No How Determined <br /> LIBRARY FEE <br /> �.and Account Land Credit Land Total <br /> Facility Account Facility Credit Facllity Total <br /> Exempt � Yes [] No How Determined Total Amount ��� <br /> RESOURCE FEE ERU <br /> TOTALAMOUNT � <br /> Prepared By � . �� Checked Sy <br /> NO CERTIFICATE OF OCCUPANCY WILI BE ISSUED OR FINAL INSPECTIpN <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FUR BY A CENTRAL PERMITTIN(3 OFFICE OF PASCO COUNTY <br /> Acknowledgement below does not imply acceptance of concurrence, 6ut simply receipl of a copy of this form, placing <br /> the building permit owner on notice of ihls assessment and tha condlllons of paymenl for same. <br /> DATE R�C�IVED! BY <br /> RECEIPT NO DATE gY <br />