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Y r <br /> PASCO COUNTY, FLORIDA <br /> t Permit No. <br /> Date Permitted --3—t <br /> LLC <br /> Builder Name/Owner Name Control#' . <br /> County Parcel No. 2 ' ?�--- (� (�{�(�(�•�t-rSt lbDiv: <br /> Address/Location b2A <br /> Classification(Type of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2r 37i <br /> Exempt ❑1 Yes [] No How Determined <br /> Impact Fee Amount $. , >-2- Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ �F 8 Z L <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 $ Z <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 Amoun� <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> CT- <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 />