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i <br /> PASCO COUNTY, FLORIDA <br /> Permit No. 9r1 6 <br /> Date Permitted 6 —IS-1 <br /> Builder Name/Owner Name t(�nna - Ome— Control#' <br /> County Parcel No. ubDiv: C` ddek6'V-r <br /> Address/Location 3/1 2- d <br /> { l <br /> Classiflcation(rype of Use C3ti } e Z/ <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 3 t 3S2 <br /> Exempt ❑Yes ❑ No How Determined <br /> impact Fee Amount $. f z © Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ '71 <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt d 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 $ <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 1 <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 />