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PASCO COUNITY, FLORIDA <br /> Permit No. t c� <br /> Date Permitted <br /> t <br /> Builder Name/Owner Name R Control#' <br /> County Parcel No. OS-2�_2(--D08D--C WCO-0310 SubDiv: ari0 <br /> Address/Location - Wc_ ,'X (A f'1 <br /> Classification/Type of Use <br /> TRANSPORTATION IMPACT FEE .[ Rate: Sq.Ft Unit: ',34Z <br /> 1 <br /> Exempt ❑Yes R No How Determined <br /> Impact Fee Amount $. 3!G 32.00 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ (�8��-2,6 <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?. 56 <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 Amounf <br /> RESOURCEFEE 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 />