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1 <br /> 1 <br /> PASCO COUNTY, FLORIDA <br /> Permit No. 7 � <br /> Date Permitted ,,Ac— <br /> Builder Name/Owner Name Control# <br /> County Parcel No. SubDiv: (p 1-64 �»zed► <br /> Address/Location J�]0((0. � 1 S L7 Z� <br /> Classification/Type of Use MA446a4e <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: �J <br /> Exempt ❑ Yes ❑ No How Determined <br /> Impact Fee Amount 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 4 <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ S77 :3 <br /> i ' <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 <br /> the building permit owner on notice of this assessment and thQ conditions of payment for same. <br /> DATE RECEIVED BY , <br /> RECEIPT NO. DATE By <br />