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;� �: PASCO COUNTY, FLORIDA <br /> • � Permit No. '1 � <br /> Date Parmitted - 3a �[ ( <br /> euilder NamelOwner Name ��'l►�-Y `�'e �C_ Control # <br /> County Parcel No. �'j 3 Z�O - Z �-� 2b(� -� v�� 13�bDiv: t� 1�� �� K�� � <br /> Address/Locafl"on � �� r �y �� � � � ( 3 � <br /> ClassificalionlType of Use �C S�� ��� �+'� v�� l� — <br /> TRANSPORTATION IMPACT FEE . Rate: Sq Ft Unit I_ D6 <br /> Exempt [] Yes ❑ No How Determined <br /> Impact Fee Amount $ J4 �0 Zone No. T�� <br /> SCHOOL IMPACT FEE cJ <br /> Account (056) Single-Family Detached House Amount $ � 7 S�' � p <br /> (057) Mobile Home <br /> (058) Other Residentfal <br /> 123) Collectlon Fee <br /> Exempt � Yes [] No How petermined <br /> PARKS AND RECR�ATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credlt Recreation Total <br /> Zone TOTAL AMOUNT $� bq • 5,�_ <br /> Exempt � Yes � No How Determined <br /> LIBRARY FEE <br /> �and 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 /> TOTALAMQUNT � <br /> Prepared By Checked Ry <br /> NO CER7IFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TO'TAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> Acknowledgement below doea not imply acceptance of concurrenpe, hut simply recelpt of a copy of this form, placing <br /> the huilding permit owner on notice of thls assessment and th� condltlons af payment for same. <br /> QATE R�CEIVED BY <br /> RECEIPT NO DATE By <br />