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i <br /> a . . <br /> i <br /> PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted l(- 2�- <br /> Builder Name/Owner Name FPS LLe' Control#' <br /> County Parcel No. ��p- ,�, —bO/-6C ��-/OSdSu\bDiv: AddeA <br /> Address/Location <br /> Classification/Type of Use �2 m� 2, 2-76 'S�& <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2, 27�o <br /> Exempt ❑ Yes ❑ No How Determined <br /> Impact Fee Amount $. 3[ 3 <br /> �' Zone No. TAZ: <br /> SCHOOL IMPACT FEE '7 9�.Z g <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 $ 26 q• <br /> Exempt ❑ Yes ❑ No How Determined <br /> i <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 Checked By <br /> I <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 /> I <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 />