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�: PA�CO COUNTY, FLORIDA <br /> • Permit No. ' 2 Z� � <br /> Date Permitted R-/�� <br /> euilder Name/Owner Name �,._P ��- � T�'1eS L-�-�- Control # <br /> County Parcel No b3-Z�- zl -��o-�� suboiv: a+' �U�� <br /> Address/Location 3� ( P � ( ���"r� �4 n � � �� � � / � <br /> Classification/Type of Use � .Q�`(� �' l �1'�`�Q_� <br /> TRANSPORTATION IMPACT FEE . Rate: Sq Ft Unit: �_ <br /> Exempt � Yes [� No How Determined <br /> Impact Fee Amount $���C� Zone No. TAZ: <br /> SCH�OL IMPACT FEE - <br /> Account (056) Single-Family Qetached House Amount $ � � � / ' �� <br /> (057) Mobile Home <br /> (058) Other Residentlal <br /> 123) Collectian Fee <br /> Exempt [� Yes [� No How Determined <br /> PARKS AND RECR�ATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreatlon Total <br /> Zone TOTAL AMOUNT $ � t� � � <br /> Exempt � Yes � No How Determined <br /> LIBRARY FEE <br /> l.and Account �and Credit Land Total <br /> Facility Account Facility Credit Facllity Total <br /> Exempt � Yes �] No How Determined Total Amount" <br /> RESOURCEFEE ERU <br /> TOTALAMOUNT � <br /> Prepared ey z Checked Sy <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 concurrenoe, but slmply recelpt of a copy of this form, placing <br /> the building permll owner on noUce of thls assessmenl and tha conditions of payment for same, <br /> QATE R�CEIVED BY <br /> RECEIPT NO DATE gy <br />