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PASCO COUNTY, FLORIDA <br /> - _ Permit No. _^ <br /> Date Permitted 7-I1 Cb <br /> Builder Name/Owner Name 1"A a_t, Control#' <br /> : County Parcel No. �1-'Z '-L(- jL�-p(Y � [�!D SubDiv: 141d6feA <br /> Address/Location <br /> Classificatlonrrype of Use '5 ' o <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> G;.. Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $. 3, {32- . Zone No. TAZ: <br /> U' <br /> t 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. j <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 (J <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> t PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY i <br /> ?k i <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply receipt of•a copy of this form,piecing <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 />