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1 <br /> PASCO COUNTY, FLORIDA <br /> • Permit No. 2-6 <br /> // - Date Permitted - —C <br /> // �L <br /> Builder Name/Owner Name L4�/ Control# <br /> County Parcel No. Q 4/, _2�6—2,1—OV,50 d AID SubDiv: 6 t <br /> Address/Location c3(0 z3/ k <br /> ClassificationfType of Use �� ` �/ D <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 3iO 7' <br /> Exempt ❑Yes ❑ No / How Determined <br /> (O <br /> Impact Fee Amount $. 4 Zone No. TAZ: <br /> SCHOOL IMPACT FEE �99 <br /> Account (056) Single-Family Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt R 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 $ <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 Amou <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 bullding permit owner on notice of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />