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' I <br /> PASCO COUNTY, FLORIDA <br /> Permit No. <br /> ,,��-- Date Permitted - - <br /> Builder Name/Owner Name �C 6;�" Control W. <br /> County Parcel No. 0 5-26_2(-V L 0 0- D l CO- 60-50 SubDiv: 5' yer aj 0 <br /> Address/Location l2-7-1 <br /> Classification/Type of Use c5 f'^L1 L <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $. 3 (a 32 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Famlly Detached House Amount $ 7, Qq_ 2$ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt F]Yes Q 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�2 6 <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 D 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 />