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-s <br /> lPASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted Z-' <br /> Builder Name/Owner Name &t Elf Control#' <br /> County Parcel No. 1 �2 tp�z -�(� ��- ���-b�f&0' SubDiv: <br /> Address/Location 31 c(.3 AAA `l"e- &.se-t J <br /> Classification/Type of Use t O1.tNt home_ <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: ( _ <br /> Exempt ❑Yes Q No How Determined <br /> Impact Fee Amount $. i(Qc3 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 /> 923) Collection Fee <br /> Exempt ( Yes Q 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 <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 [_1 Yes [] No How Determined Total Amounff <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 BY <br />