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PASCO COUNTY, FLORIDA <br /> Permit No. 0050 <br /> �hh <br /> Date Permitted <br /> Builder Name/Owner Name v k Control <br /> County Parcel No. 6S-Z6— Z1—D t DO—Dll Lb--or bDiv: <br /> Address/Location & Alo W a yyvt <br /> Classification/Type of Use 1 . L Zt 3� 2— <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: Zf 36 Z <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $. 31 32 CTh Zone No. TAZ: <br /> SCHOOL IMPACT FEE I�p� �� <br /> Account (056) Single-Family Detached House Amount $ (i l I <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 $ <br /> Exempt ❑Yes ❑ No How Determined <br /> LIBRARY FEE <br /> ti Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑ Yes [] No How Determined Total Amo <br /> 1 RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By t ibv= 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 />