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PASCO COUNTY, FLORIDA <br /> . f�7 <br /> _ Permit No. � �J V <br /> Date Permitted -5-1 <br /> Builder Name/Owner Name ,-4n� Control# '" <br /> County Parcel No. -Z( =p o4O^!3 d SubDiv: (311 Kndo <br /> Address/Location tG 5 <br /> Classification(rype of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: �jl 33 <br /> Exempt. ❑Yes ❑ No How Determined <br /> Impact Fee Amount $. 3r 3 Zone No. TAZ: <br /> SCHOOL IMPACT FEE �L <br /> Account (056) Single-Family Detached House Amount $ 074 , <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 $ 761 <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 />