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DASD® COUNTY, FLORIDA <br /> Permit No. qteo <br /> Date Permitted <br /> Bu ilder Name/Owner Name 4vtt Control# <br /> County Parcel No. <br /> Address/Location 366[ No�dd)! lloO <br /> Classification/Type of Use 'Sllrde "1'6� <br /> U <br /> TRANSPORTATION IMPACT FEE . Rate: Sq.FtUnit: <br /> Exempt nYei [] No How Determined <br /> Impact Fee Amount $.3j 3 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ 3 t I I 7—f 3 <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt �Yes R 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 $ 76 <br /> Exempt F]Yes n No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt R Yes F] No How Determined Total Amount <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> A <br /> Prepared By Checked By <br /> V U <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 />