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a <br /> (�r- k! PASCO COUNTY, FLORIDA <br /> _ Permit No. <br /> Date Permitted �- <br /> Builder Name/Owner Name at Awt,�� Control#. , <br /> County Parcel No. �(-OZS?-A"b 2600- 1 Z SubDiv: e -( ��t�is� <br /> Address/Location 13 / _ofw <br /> Classificationrrype of UseQj <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $-30 6 3 2, 00 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ j_ g.fie <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 0Y�) Collection Fee <br /> Exemptes ❑ 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 <br /> Exempt ❑Yes ❑ No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> i <br /> Exempt ❑Yes ❑ No How Determined Total Amountt-1 Y <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 />