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i <br /> PASCO COUNTY, FLORIDA <br /> t <br /> Permit No, <br /> Date Permitted TS <br /> Builder Name/Owner Name 'l ncw Control# <br /> County Parcel No. bi—4-7i(-.6 L)Aa--QC)SOO—00 OSubDiv: <br /> Address/Location i5qi4 Gi Wa- <br /> Classificatlon/Type of Use le f OZf' s <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt []Yes ❑ No How Determined <br /> Impact Fee Amount $. 31 Ia37-,6�0 Zone No. TAZ: <br /> SCHOOL IMPACT FEE c y <br /> Account (056) Single-Family Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt d 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 $ 1 65 S 1� <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 />