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PASCO COUNTY, FLORIDA <br /> Permit No. �� <br /> Date Permitted <br /> Builder Name/Owner Name, . lezy14r- 11��7"esx/e, Control# _f <br /> County Parcel No. ��{-�6`-2� 0100- ,6XCV--D766 SubDiv: �'>�+yt�f-A �►,+�p- <br /> Address/Location <br /> r <br /> Classification/Type of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: . 0 <br /> Exempt ❑Yes ❑ No How Determined <br /> impact Fee Amount $.��(�3 •by Zone No. TAZ: <br /> SCHOOL IMPACT FEE o <br /> Account (056) Single-Family Detached House Amount $ q t <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 $ 70, J 16 <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 j <br /> i <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply receipt of-a copy of this form,placing j <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 />