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„�., <br /> � � <br /> - P�► C0� COUNTY, FLORIDA <br /> Permit No. (��Q`j <br /> Date Permitted <br /> Builder Name/Owner Name '��� , Sli�CG�Y� Control# <br /> County Parcel No. ��- ZI-L�(3p^� ,��_���d SubDiv: Z���yr Lc3x.w.�y� <br /> Address/Location �-// �j�I✓I� <br /> ClassificationlType of Use Q�;i - (Z�S�-Eiu��c.,�! <br /> TRANSPORTATION IMPAC FEE Rate: ��j .3,�f� Sq Ft Unit: �����a <br /> Exempt � Yes � No How Determined <br /> Impact Fee Amount $ � � ��•�� Zone No. TqZ; <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Fa ily Detached House Amount $ ,� <br /> (057) Mobile H me <br /> (058) Other Re idential <br /> 123) Collectio Fee <br /> Exempt Yes � No How Determined <br /> PARKS AND RECE2EATION EE <br /> Land Account Land Credit Land Total � <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TO7AL AMOUNT $ ,� <br /> Exempt � Yes � No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Faciliry Credit Facility Total <br /> Exempt � Yes � No How Determined Total Amount �.}�� <br /> RESOURCE FEE ERU <br /> TOTALAMOUNT <br /> Prepared By �, Checked By <br /> NO CERTIFICATE O OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORM D UN71L THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> Acknowledgament below does not mply acceptance of concurrence,but simply receipt of a copy of this form,placing <br /> the building permit owne on notice oi this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />