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.;�, <br /> P SCO COl1NTY, FLORIDA <br /> Permit No. �J���� <br /> Date Permitted /p-7-- <br /> Builder Name/Owner Name �-%�����Control# <br /> Gounty Parcel Na. ��2.lp-��-O�oO�t}Gt3t�t3-aD�D SubDiv: S a 1 U�4�C7 <br /> Address/Location 3� J3 b ��(R�" K���{ �, <br /> � ClassificatianlType af Use SI`�t �C� 1L ��7�Y��. <br /> TRANSPORTATION IMPA T FEE Rate: Sq Ft Unit: Z; Z�7 <br /> Exempt [� Yes [� No Now Determined <br /> Impact Fee Amount $ ,3�D�3� Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (456} Singie-F mi}y Detached House Amount $ ��`��O. �-� <br /> (057) Mobile ome <br /> (058} Other R sidential <br /> 123) Collect'so Fee <br /> Exempt Yes � No Now Determined <br /> PARKS ANb RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreakion Account Recreation Credit Recreation Tota! <br /> Zane TOTAL AMOUNT $ `7(��f,S„� <br /> Exempt � Yes C] No Flow Determined <br /> L18RARY FEE <br /> �and Accaunf k.and Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑ Yes ❑ No How Determined Totai AmounE _7� <br /> RESQURCEFEE ERU <br /> TOTALAMOUNT <br /> Prepared By Checked Sy <br /> NO CER7iFlCATE OF OCCUPANCV WILL�E ISSUED C3R FiNAL INSPECTiON <br /> PERFORME UNTlL TliE 7t?TAL AMOUNTS�ISTED i-IAVE <br /> BEEN PAIp AND <br /> RECEIPTED FOR BY CEMTRAL PERMITTING OF�10E OF PASCO COUN`TY <br /> Acknowledgement below daes not i ply acceptance of concurrence,but simply receipt of a copy of this form,placing <br /> the buftdEng permlt owne on nottce of this assessment and th�conditio�s of paymerrt for sama. <br /> DATE RECElVER BY <br /> RECEiPT NO DATE BY <br />