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PASCO COUNTY, FLORIDA <br /> Permit No. 2' , <br /> Date Permitted .S— 7ZO <br /> Builder Name/Owner Name of L/t/1, '� Z Control#" <br /> County Parcel No. 2 - _�f1wubQiv: 6 <br /> Address/Location 3oS�? /lerd <br /> f <br /> Classification/Type of Use .S")y P <br /> TRANSPORTATION IMPACT Rate: Sq.Ft Unit: Z z <br /> Exempt [] Yes No How Determined <br /> Impact Fee Amount $. 3 f ,3 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ 7 ` ze <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt Yes n 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 $ n <br /> Exempt n Yes F1 No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt n 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 />