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PASCO COUNTY, FLORIDA <br /> _ Permit No. <br /> Date Permitt6d <br /> Builder Name/Owner Na ma /—tYtf Wt t 14 t S Control#' - <br /> County Parcel No. 2-4-24- 2(-61 dD-4500 o. 4-6 SubDiv: <br /> Address/Location s b 7 ln a K;( Cd M <br /> Classification/Type of Use e <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2,DD8 <br /> Exempt ❑Yes ❑ No How Determined <br /> impact Fee Amounts t b = 0� Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House . Amount $ Z f 111 <br /> Z� <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 Recreati�o-n1 Total <br /> total <br /> Zone TOTAL AMOUNT $ G E1-t5 f�a <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 />