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PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted 7—Y-73— <br /> Builder Name/Owner Name c`1N Control <br /> County Parcel No. 6524-2_1-0680-606004!4 SubDiv: -.51PefaO <br /> Address/LocatIon . __r,,dq0 <br /> Classificationrrypeof Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq-Ft Unit: 21 <br /> Exempt 0yes ❑ No How Determined <br /> Impact Fee Amount $. 3, 02t <br /> Zone No. TAM <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt �Yes n No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit •Recreatlon Total <br /> Zone TOTAL AMOUNT $ <br /> Exempt Fj Yes n No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt F1 Yes ❑ No How Determined Total Amount <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> q <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 copy of this form,placing <br /> the building permit owner an notice of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />