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'= PASCO COUNTY, FLORIDA <br /> Permit No. 2-10 16 <br /> p Date Permitted I I—If—I is <br /> Builder Name/Owner Name #� Control#' <br /> County Parcel No. 6 00 —b t(00.640 SubDiv: 3 01 i <br /> Address/Location 7 88 a <br /> ClassiticationlType of Use S t . —(2 1 14 2 Z <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: Zt Z(S <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $. -3t 632 A Zone No. TAZ: <br /> SCHOOL IMPACT FEE q 2 <br /> Account (056) Single-Famlly Detached House Amount $ 7j 19 l <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 $ 769, 8,. <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 Amountz <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 />