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. , ,�, <br /> , .� :i. <br /> -a. <br /> .` P�4SC� COl11VTY, FLORIDA <br /> Permit No. / �/� <br /> Date Permitted z / -- <br /> Builder Name/Owner Name � � <br /> �� Control # <br /> County Parcel No. _6�{—�_)�_(�6�p���J ���7� SubDiv: <br /> AddresslLocation c,��o�(� � / � � � <br /> Classification/Type of Use d�{—Z6—z j_ �j�6 a— �D/,�� /��7n <br /> TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: ��3�, �C � � <br /> Exempt [] Yes � No How Determined <br /> � Impact Fee Amount $ �J� :j 2. U� Zone No. T,c�: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ �; £j `�(�, Z� <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt Yes � No How Determined <br /> PARKS AND REGREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> . Zone TOTAL AMOUNT $ �] ��r � <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 Amou <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> Acknowledgement below does not imply acceptance of concurrence, but simply receipt 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 RECEIVED BY <br /> RECEIPT NO. DATE gY <br />