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` PASCO COUNTY, FLORIDA <br /> ' Permft No, ��� T <br /> Date Permitted - l 2 <br /> Builder Name/Uwner Name �..e✓l 1'�u-- r�Y► Control #' <br /> County Parcel No. ��321v"2�� pZS�''��- SubDiv. ��� �G=-✓� � f< IGu)r� �m�, <br /> Address/Location �J 1� 3� ��Ur` i�`n� �P i� �� L� <br /> Classification/Type of Use ��PGC,� I�� ��� ����"r1 � <br /> TRANSPORTATION IMPA�T FEE . Rate: GJ' 7�� Sq Ft Unit: ����P3 <br /> Exempt � Yes [� No How Determined <br /> � Impact Fee Amount $��� �o •�(7 Zone No. TAZ: <br /> SCHOOL IMPACT FEE 'I <br /> Account (056) Single-Family Detached House Amount $ � 7-�7� 't D <br /> (057) Mobile Home <br /> (058) Other Resfdentlal <br /> 123} Collaction 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 $ � �vq� cS� <br /> Exempt � Yes � No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Totat <br /> Facility Account Facfl�ty Credit Facilify Total <br /> Exempt � Yes [] No How Determined Total Amount � <br /> RESOURCEFEE ERU ' <br /> TOTALAMOUNT <br /> Prepared By � Checked Sy <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL 7HE TOTAL AMOUNTS LISTED HAVE <br /> RECEIPTED FOR BY A CENTRAL E MITI' NG O�FICE OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrenpe, 6ut slmply recelpt of e copy of thl& fo�m, plaoing <br /> lhe 6ullding permlt owner o� nodce of thls assessment and th� cond(Iions of paymenl for same, <br /> DATE <br /> R�CEIVEp BY <br /> RECEIRT NO �_ pATE BY <br />