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• a <br /> PASCO COUNTY, FLORIDA <br /> ' Permit No.. to <br /> Date Permitted <br /> Builder Name/Owner Name &w' f_ S f-4c', Control-#- <br /> County Parcel No. 6-5-2-6 Z(—00$0_Do oa- 03 A SubDiv: �C UPrCr��i <br /> Address/Location +(0 fr(� r (ttq t. <br /> 11 Classification(Type of Use6' ! o <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2,37.2- <br /> Exempt ❑Yes [] No How Determined <br /> Impact Fee Amount 3�.OD Zone No. TAZ: <br /> SCHOOL IMPACT FEE p <br /> Account (056) Single-Family Detached House Amount <br /> (/ (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt d Yes C]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 ❑Yes No 'How Determined <br /> LIBRARY FEE <br /> Land:Accounf Land Credit Land Total <br /> Facility Account . Facility Credit .Facility Total �- <br /> Exempt ❑Yes ❑ No How Determined Total Abiount <br /> RESOURCE FEN: ERU <br /> TOTALAMOUNT <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 /> IRECEIPTED FOR BY A CENTRAL PERMITTING.OFFICE.OF PASCO COUNTY <br /> Acknowledgement below does not imply acceptance of concurrence,but simply.recelpt ofa copy of this form,placing <br /> the building permit owner on notice of this assessment and thQ conditions_of payment for.same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. -DATE BY <br /> s _. <br />