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PASCO COUNTY, FLORIDA <br /> Permit No. 2-6q qS <br /> I Date Permitted <br /> Builder Name/Owner Name �� � Control#' <br /> 20 <br /> County Parcel No. __ _ -�JC-2(Q-Zj-D�0���p�SubDiv: V lj <br /> Address/Location 7�n.'t ou"O I Q <S7 <br /> Classification/Type of Use c5 i�9 ��-}�,nv (� 2(3(Q Z <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: Zr�' (n2 <br /> Exempt ❑ Yes ❑ No // How Determined <br /> Impact Fee Amount $. 3t� 3Z'n Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ <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 $��q ��o <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 Amountr-� <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 />