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PASCO COUNTY, FLORIDA <br /> Permit No. -?_D Z <br /> Date Permitted - --C <br /> Builder Name/Owner Name LLC Control#' <br /> County Parcel No, n�—?� Z(-bto b050D�b(SD SubDiv: VeAtfO <br /> Address/Location �+�blu�2 T A`M Wow <br /> Classification/Type of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 31 UZ/ <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $.,3, (Q3Z-0D Zone No. TAZ: <br /> SCHOOL IMPACT FEE Z8 <br /> Account (056) Single-Family Detached House Amount $ [ f. <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 6yes 23) Collection Fee <br /> Exempt ❑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 $ 6q S 6 <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 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 the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />