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PASCO COUNTY, FLORIDA <br /> Permit No. -I !vS <br /> Date Permitted <br /> Builder Name/Owner Name 4 cControl#' <br /> County Parcel No. Vf—26 Z 0(60-&OD&1.)6 SubDiv: P� <br /> Address/Location <br /> ClassiticationfType of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: V <br /> Exempt ❑ Yes ❑ No How Determined <br /> Ev;_ Impact Fee Amount $34. Zone No. TAZ: <br /> C;e <br /> SCHOOL IMPACT FEE p <br /> Account (056) Single-Family petached House Amount $ 7� t�G ze) <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt [�] Yes Q 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 $ 762-66 <br /> Exempt ❑Yes ❑ No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> / <br /> Exempt ❑ Yes ❑ No How Determined Total Am6W� <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By r 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 /> • <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 some. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />