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PASCO COUNTY, FLORIDA <br /> Permit No. Z Z}!6 <br /> Date Permitted _Z 6 <br /> Builder Name/Owner Name Hriu r es Control#' <br /> County Parcel No. 0 7,&- 2 Q)Q 7o-b 600 6O SubDiv: 89 l UP,raC& <br /> Address/Location - ( - l Ve ra.d'a (J� <br /> Classification/Type of Use - _cSi�G le- Zms'`�/ <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: ( O <br /> ❑ <br /> Exempt Yes No How Determined <br /> t: p R <br /> l: Impact Fee Amounts. —3,632 . 6D Zone No. TAZ: <br /> } , <br /> SCHOOL IMPACT FEE <br /> 4-5 Account (056) Single-Family Detached House Amount $ _ 2 t9 j. 2-6 <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 (Oq- 5 <br /> Exempt ❑Yes ❑ No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> I: Exempt ❑ Yes ❑ No How Determined Total Amount <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> i <br /> ti <br /> Prepared By Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> E' 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 tha conditions of payment for same. <br /> DATE RECEIVED BY , <br /> RECEIPT NO. DATE BY <br />