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PASCO COUNTY, FLORIDA <br /> Permit No. <br /> �O <br /> Date Permitted -7-L7/9q <br /> Builder Name/Owner Name �j/u � Control#' <br /> County Parcel No. 2`— -Z-(--60CL- /00-60`q 0 l!SubrDiv: P - <br /> Address/Location 9� (!3 �f55 �+L l� L f <br /> Classification/Type of Use <br /> TRANSOORTATION IMPACT FEE Rate: Sq.Ft Unit: 02, <br /> Exempt �'es No How Determined <br /> Impact Fee Amount $, l>��� v U p 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 n 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 $ ' <br /> Exempt R Yes F1 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 /> RESOURCEFEE 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 thei conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />