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f <br /> j f L <br /> PASCO COUNTY, FLORIDA <br /> Permit No. • t d <br /> Date Permitted - -1 <br /> Builder Name/Owner Name k". ��S Control#' . <br /> County Parcel No. �S' � x7 .0 d0 (?C)�O SubDiv: S' L��&-db <br /> Address/Location 7' - -7—e-At �9 <br /> 1(4 ClassificationRype of Use <br /> TRANSPORTATION IMPACT FEE. Rate: Sq.Ft Unit: , <br /> Exempt []Yes ❑ No How Determined <br /> Impact Fee Amount $. 1 .� v V Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ Ai i 2. • <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 $ (pq. ► <br /> Exempt ❑ Yes ❑ No How Determined <br /> 1 <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑ Yes ❑ No How Determined Total Amoun <br /> RESOURCE FEE 1 ERU <br /> TOTAL AMOUNT <br /> Prepared By Q 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 />