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` .: PASCO CQUNTY, FLORIDA <br /> Permit No. - 2 7 <br /> Date Permltted <br /> Buitder Name/Owner Name I.��f1flGL r �Z�YY1`�_S Control # <br /> County Parcel No. �� �, _ ZC , 2� .� I�30 -�,� I � � <br /> C� OV�(�O- SubDiv: "� I QzY� d((� l UU.�'�(�.�dY�1� <br /> Address/Location � 7 (p ( `� �� �-� ��� �. ��� <br /> Classification/Type of Use /��� (� �� a I � n �j Q�. <br /> TRANSPORTATION IMPACT FEE . Rate: (�' C� , <br /> % 7. 1 r J Sq Ft Unit; �p � <br /> Exempt [] Yes [] No HoW Determined <br /> � Impact Fee AmoUnt $�� vCj • vV Zone No. <br /> __ TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Famlly Detached House Amount $_ � 7 5 7, �(j <br /> (057) Mobile Home <br /> (058) Other Residential <br /> (123) Coilection Fee <br /> Exempt � Yes �] No How Qetermined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit <br /> Land Total <br /> Recreation Account <br /> �_ Rec�eation Credit __ Recreatlon Total <br /> Zone ----- <br /> ---- TOTAL ANqOUNT � � �. ,�h <br /> Exempt [] Yes [] N� How Determined � <br /> LIBRARY FEE <br /> �and Account <br /> Land Credit Land Total <br /> Facility Account <br /> ---_�_ Facility Credlt Facfllty Total <br /> Exempt Yes <br /> ❑ ❑ No How Determ(ned � <br /> —__ Total Amount ` �_ <br /> RESOURCE FEE <br /> TOTALAMOUNT ERU <br /> Prepared By • � � <br /> Checked Sy <br /> NO CERTIFICqTE OF OCCUPqNCY WILL BE ISSUED OR FINAL INSPECTIQN <br /> PERFORMED UNTIL 7HE TOTAL AMOUNTS LISTED HAVE <br /> RECEIPTED FAR BY q CENT�tAL ERM NG OFFICE OF PASCO COUN <br /> TY <br /> Acknowledgement below does not Imply acceptance of concurrenpe, hut slmply recelpt of a co <br /> the building permit owner on notice of this assessment and th� condltlons pf payment for same. <br /> PY of thls form, placing <br /> DATE <br /> RECEIPT NO R�CEIVEp gy <br /> ----_— DqTE ____ gY <br />