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`.. PASCO.COUN�``iC; FLORIDA <br /> Permit No. <br /> �QQ Date Permitted <br /> Builder Name/Owner Name C0 Control# <br /> County Parcel No. 05-4.-2/-Q 08O-Q06C0-O?-60 SubDiv: <br /> Address/Location U `C' <br /> Classification/Type of Use t <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt [] Yes ❑ No How Determined <br /> Impact Fee Amount 2.,01) 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 /> s <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> i Recreation Account Recreation Credit -Recreation Total <br /> Zone TOTAL AMOUNT $ 7L9 Sk <br /> Exempt Fj,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 Amount <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 /> lAcknowledgement 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 /> i <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />