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PASCO COUNTY, FLORIDA <br /> Permit No. �Zrj <br /> Date Permitted t t- 5-4 6 <br /> Builder Name/Owner Name �e~,a r Control#' <br /> County Parcel No. () SubDiv: �STlller'Q�v <br /> Address/Location s�tdd le <br /> Classification/Type of Use �c�IP ltrnl,ly 3; o4 -��— <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 31 (A <br /> Exempt ❑ Yes ❑ No How Determined <br /> Impact Fee Amount $.3, 3 .f� Zone No. TAZ: <br /> SCHOOL IMPACT FEE �, I q1j` 2g <br /> Account (056) Single-Family Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt H 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 $ `7 gJ S6 <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 �L 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 />