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PASCO COUNTY, FLORIDA <br /> Permit No. .2—0 <br /> Date Permitted — <br /> Builder Name/Owner Name � ► L LC Control#• <br /> County Parcel No. SubDiv: t;(xc� 'ilt�bl^G <br /> Address/Location 3 ( l C)b o r LT '5 <br /> Classification/Type a of Use 6(,(A 07v2 <br /> YP <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> w. Exempt ❑'Yes ❑ No How Determined <br /> Ktl <br /> . . Impact Fee Amount $ 7 Zone No. TAZ: <br /> ?z; 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 <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 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 /> Acknowledgement below does not Imply acceptance of concurrence,but simply receipt of•a copy of this form,placing <br /> the building permit owneron notice of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />