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�1� <br /> : PASCO COUNTY, FLORIDA <br /> Permit No. �4Q <br /> Date Permitted 3 / <br /> Builder Name/Owner Name ..�,� �a� G' �/p�,����Control# <br /> County Parcel No. ���6-Zj_y'D��) ��O�ev-O///� SubDiv: �;��Y?r�G['�4 <br /> Address/Location ,3�ZL'] �'�'l�id�{ I�j� ���i �(�I ,��#l-J(G <br /> Classification/Type of Use �S%,��� �rn,�y <br /> TRANSPORTATION IMPACT FEE Rate: _lG/� �o Sq Ft Unit: z �Z�O <br /> Exempt � Yes � No How Determined <br /> Impact Fee Amount $ ,�'�o,3 L Zone No. TqZ; <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ �� �6. Z,� <br /> (057) Mobile Home — <br /> (058) 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 $ ��9, s�p <br /> Exempt � Yes � No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit _ Facility Total <br /> Exempt � Yes � No How Determined Total Amount =�_ <br /> RESOURCEFEE ERU <br /> TOTAL AMOUNT <br /> Prepared By ��U ° Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE 70TAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> Acknowledgemant below does not imply acceptance of concurrence,but simply recelpt of a copy of this form,placing <br /> the building permit owner on notice of this assessment and the conditions of payment for same. <br /> DATE RECENED BY <br /> RECEIPT NO. DATE gy <br />