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.. ..., <br /> :` P�4SC0 COUNTY, FLORIDA <br /> Perm(t No. � ���J` <br /> Date Permitted /0 � <br /> Builder Name/Owner Name �,/1 Q r' `! Control # <br /> County Parcel No. Q 3- L(o" Z�- OZSo -(�(�(�0- � 11 O SubDiv: �t �ivw� l+'u-� kTj'` �r���S' <br /> Address/Location J� ��P 1 � l9�'c�rr.,i�lct �e-r` �' �� � <br /> Classification/Type of Usg /�/-E r� )� �� Q Tawnharn e. <br /> TRANSPORTATION IMPACT FEE , Rete: � J� Sq Ft Unit; ��� <br /> Exempt � Yes [I No HoW Determined <br /> Impact Fee Amount $���O � v� Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ ��S7Y �� <br /> (057) Mobfle Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt Yes � No How Determined <br /> PARKS AND RECR�ATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Rec�eation Credit Recreation Total <br /> Zone TOTAL AMOUNT $�(� �] � S� <br /> Exempt � Yes � No How Determl�ed <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt � Yes �] No How Determined Total Amo�rrt <br /> RESOURCEFEE ERU <br /> TOTALAMOUNT <br /> Prepared By � t '?/,J� Checked Sy <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTIpN <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> RECEIPTED FOR BY q CENT�AL P, RMIT7' NG OFFICE OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrenCe, 6ut slmpiy recelpt of a copy of this form, placing <br /> ihe bullding permtt owner on notice of thls assessment and thq conditlons pf paymenl for same. <br /> QATE R�CEIVEp BY <br /> RECEIPT NO �_ DATE gY <br />