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41 <br /> PASCO COUNTY,, FLORIDA <br /> Permit No. <br /> Date Permitted <br /> Builder Name/Owner Name _Lpt� ��'C Control#' " <br /> County Parcel No. 2 7 i�2�—6(C1C7�(Z(�CX70��S�D SubDiv: A2sfClc�i'L hle4, <br /> Address/Location 3 2 0 8 k rt skAroo <br /> f cf_ <br /> Classificationtt'ype of UsQ <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 37 <br /> Exempt ❑-feS ❑ No How Determined <br /> Impact Fee Amount $, 3 r 0 2.6D Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached 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 <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 /> z • <br /> Exempt ❑Yes ❑ No How Determined Total Amount <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By t 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 />