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PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted - - <br /> Builder Name/Owner Name 18av f,LC_ Control# <br /> County Parcel No. 5-2 2(-62l -0030 SUbDiv: We <br /> Address/Location / (p ice &a__L p Z, <br /> Classification/Type of Use <br /> Y.> TRANSPORTATION IMPACT FEE Rate: Sq-Ft Unit: 1 (_ <br /> ::. <br /> Exempt ❑�'es ❑ No How Determined <br /> 1' Impact Fee Amount $. 1 ��7 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 [� 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 $ (p_ <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 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 CO <br /> UNN <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 same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />