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: � .: <br /> PASCO COUNTY, FLORIDA <br /> Permit No. `j� <br /> Date Permitted <br /> Builder Name/Owner Name ����CC 1'l1i ����-f)Zi C�j��ntrol# <br /> CounlyParcelNo. �=75"ZI-�C�I�—��IC� -� � SubDiv C�'F4 c'71ep�iy�'��S <br /> Address/Location 7 z'f 2 1���( � �` �'�� f <br /> Classificationlfype of Use _ °�"yi/�y�,��,r ti C C� �-����r a.�l� 4 '��� <br /> TRANSPOR7ATION IMPACT FEE Rate: Sq Ft Unit: <br /> Exempt []Yes (-] No How Determined <br /> Impact Fee Amount $ ��T3 1 Zone No. T,qZ, <br /> SCNOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ �i <br /> (057) Mobile Home <br /> (OSB) Other Residential <br /> 123) Collection Fee <br /> Exempt Yes �No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account __ Land Credit Land Total <br /> Recreation Account _ Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ �� <br /> Exempt �Yes �No How Determined <br /> LIBRARY FEE <br /> Land Account __ Land Credit Land Total <br /> Facdity Account _ Facility Credit _ Facility Total <br /> Exempt L�Yes ��No How Delermined Total Amount �(/ <br /> RESOURCE FEE ERU <br /> TOTALAMOUNT — <br /> Prepared By � � _ Checked By <br /> i <br /> NO CERTIFICATE OF OCCUPANCY WILL 6E ISSUED OR FINAL INSPECTIQN <br /> PERFORMED UNTIL 7HE TOTAL AMOUNTS LISTED HAVE <br /> RECEIP7ED FOR BY A CENTRAL PERM'T�ING OFFICE OF PASCO COUNIY <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply recelpt ot a copy of this torm,placing <br /> lha building permit owner on nolice of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO ___ DATE gy <br />