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�;iJ� <br /> + PA�CC3 CC►I�NT'Y, FLt�i�IDA <br /> ♦ <br /> f, <br /> " ' F'ermit No. f J��Z-j <br /> , " Date Permitted /D-tS-t� <br /> � Builder Name/Owner Name �� � Control# <br /> _ ___County F?arcel No. 3�-�5-Z-�- a I 8t�-- i�bp4-- �3(oD SubDiv: �ltsF►n�( �Dr-c�z� <br /> Address/Location 3� Z�5 /�.f�u..�b �b� ��'� <br /> � Classification/Type of tJse .`�-����: �0�4' ��� +`�' T�� °� <br /> . .._.---___._ <br /> � TRANSPORTATION iMPACT FEE Raf : � � _ _ _ Sq Ft Unit: �� <br /> f Exempt �] Yes ❑ Na How Determi ed <br /> � Impact Fes Amount $ � tiP��, � �� Zane No. TAZ: <br /> SCHCIOL tMPACT FEE ' <br /> Accour�t (056} Single-Family Detached N use Amount $ _��)! <br /> (057) Mobile Home <br /> (058) �ther Residential <br /> 123) Collection Fee <br /> Exempt [� Yes ❑ No Hc�w Determi ed <br /> PARKS AN[} RECREATION FEE <br /> Land Account Land Credit �and Tatal <br /> Recreation Account Recreatio Credit Recreation Total <br /> Zone TOTAL AM(�UNT $ .J�J�• 7 3 <br /> Exempt � Yes [] No How Determi ed <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credi Facility Tota! <br /> Exempt [] Yes � No How Determi ed Total Amoun� —���!-- <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFiCATE OF OCCt1PANCY ILL BE iSSUED OR FINAL INSPECTION <br /> PERFORNiED UNTIL THE 7 TAL AMOUNTS LISTED HAVE <br /> BEEN AID AND <br /> RECEIPTED FOR BY A CENTRAL P RMITTiNG 4FF10E OF PASCO COUNTY <br /> Acknowledgement below does not irnply acceptance of oncurrence,but simply rece4pt of a copy af this farm,piacing <br /> the building permit owner on notice of this as essment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NC}. DATE BY <br />