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PASCO COUNTY, FLORIDA <br /> Permit No. (fGt7U <br /> Date Permitted <br /> Builder Name/Owner Name e A-W-4- Control <br /> County Parcel No. �J-2 -Z(--15 0�(��Od--I?6` p SubDiv: C51 <br /> Address/Location 2 ' <br /> Classification/Type of Use ! t <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: �t � <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount Zone No. rTAZ: <br /> SCHOOL IMPACT FEE --� / <br /> Account (056) Single-Family Detached House Amount $ . �rl Z <br /> (057) Mobile Home " <br /> (068) 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 $ -7 6566 <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 />