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s� <br /> = PASCO COUNTY, FLORIDA <br /> Permit No. �� <br /> Date Permitte Z <br /> Builder Name/Owner Name t— 14�e� jUC Control# , <br /> County Parcel No. 2 z __/0J1/&bDiv: <br /> Address/Location 3 t'd 7 Ltf` S L?t 1 r oo e <br /> f <br /> Classificatlon(rype of Use ;v <br /> TRANSPORTATION IMPACT FEE . Rate: Sq.Ft Unit: 2- <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $.31 G 32• Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family 1)etached House Amount <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 7 <br /> Zone TOTAL AMOUNT $ ' /"M <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 Amounve- <br /> RESOURCE FEE ERLI <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 />