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PASCO COUNTY, FLORIDA <br /> _ Permit No. 2"1 1—'t <br /> Date Permitted 19 3Z <br /> Builder Name/Owner Name e(4 C6►'l"V— Control#' <br /> County Parce(No, I-S-2-6—Z-1—152 t©tVOC)L)"OlSNubDly: IJC. L�- <br /> Address/Location J7 <br /> Classification/Type of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt '[]Yes ❑ No How Determined <br /> Impact Fee Amount $. �� �Z Zone No. TAZ: <br /> <: �;- SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ <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 $ �7 6% c� <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 /> r. <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 /> ,`r <br /> r: the building permit owner on notice of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY, <br /> RECEIPT NO. DATE BY <br />