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. PASCO COUNTY, FLORIDA <br /> Permit No. 1 Jc58 7 <br /> Date Permitted <br /> Builder Name/Owner Name s! ) aG Control#' . <br /> County Parcel No. SubDiv: Z5► i'tjvdv <br /> Address/Location JJ 7 (it�R b�`� 1AA <br /> �T <br /> Classification/Type of Use <br /> TRANSPORTATION IMPACT FEE •. Rate: Sq.Ft Unit: b�s <br /> !, Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $=S b�Z• Zane No. TAZ: <br /> SCHOOL IMPACT FEE �f <br /> Account (056) Single-Family Detached House Amount $ � 7�•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 $ 76 �6 <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 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 /> 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 />