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�� , <br /> ;: PASCO COUNTY, FLORIDA <br /> Permit No. 2- �Z' <br /> Date Permitted I 0- I <br /> Builder Name/�wner Name � t'-n 1'l� r��` Control # <br /> LSv-- U(�U- 27P SubDlv: �`�`'�"�� ���� <br /> County Parcel No. Q3-2(�-Za- i7 � � <br /> Address/Location �j �(o � J� ��'���1 r''�� e � � Z 7 <br /> ClassiflcatlonfType of Use j�( � i.t� 1�+� �K /�u%� h oN1 �' , <br /> TRANSPORTATION IMPAGT FEE � Rate: . 9� Sq Ft Unit: � 3 <br /> Exempt � Yes � No How Determined <br /> Impact Fee Amount $�,��0' ��= Zone No. TAZ: <br /> SCHOOLIMPACTFEE '/ <br /> Account (056) Single-Family Detached House Amount $ � 7� �• 1` � <br /> (057) Mobile Home _ <br /> (o5s) Other Residentlal <br /> 123) Collectio� Fee <br /> Exempt � Yes [] Na How Determ(ned <br /> PARKS AND RECR�ATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Rec�eation Credit Recreatlon Total <br /> Zone � TOTAL AMOUNT $ �] �o � ' � � <br /> Exempt � Yes �] NA How Determined <br /> LIBRARY FEE <br /> �.and Account Land Credit Land Tota) <br /> Facility Account Facfljty Credit Facility Total <br /> Exempt � Yes ❑ No How Determined Total Amount �_ <br /> RESOURCE FEE ERU � <br /> TOTALAMOUNT � <br /> Prepared By C Checked 8y <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 PERMIITING OFFICE OF PASCO COUNTY <br /> Acknowledgement below doea not Imply acceptance of concurrenoe, but slmply recelpl of a copy of this form, placing <br /> Ihe huilding pertnit owner on noUce oi this essessment and lh� conditlons pf paymeni for seme. <br /> QATE R�CEIVED BY <br /> RECEIPT NO DATE gY <br />