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• s <br /> 7 : PASCO COUNTY, FLORIDA., <br /> Permit No. <br /> ! ( Date Perm' d IG� <br /> Buitdar Name/Owner Name +C Cn`taNf Control <br /> County Parcel No. D 5 2b— 1-.;b 06600-63(0 SubDiv: <br /> Address/Location &6 7 L .D ^ <br /> Classification/Type of Use W. "q 6? `ay, _ <br /> TRANSPORTATION IMPACT FEE . Rate: Sci.Ft Unit: 27 <br /> .Exempt ❑Yes 0 No How Determined <br /> Impact Fee Amounts Zone No. TAZ: <br /> SCHOOL IMPACT FEE p <br /> 1/ 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 /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone* TOTAL AMOUNT <br /> Exempt ..[i Yes Q Now-beterminec}No . <br /> LIBRARY FEE <br /> Land Accounf Land Credit LandTotai <br /> Facitity:Account Facility Credit Facility Total. <br /> Exempt n Yes No How Determined Total Almouni# _ _. <br /> RESOURCE FEE ERQ <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 /> Aelmowledgemant below does not Imply acceptance of concutrence;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 />