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• I <br /> PASCO COUNTY, FLORIDA <br /> Permit No, <br /> ,, Date Permitted 11 <br /> Builder Name/Owner Name e A-n -f l Mq�-� Control#' <br /> County Parcel No. 2 00 - bW-6/70 SubDiv: ` ddfa <br /> Address/Location Z 9 7 k Ct <br /> Classification/Type of Use 131 <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit* <br /> M <br /> Exempt ❑Yes [] No How Determined <br /> Impact Fee Amount $. Zone No. TAZ: <br /> i <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ _y24 <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 /> i <br /> Recreation Account Recreation Credit Recreatioonn Total <br /> Zone TOTAL AMOUNT $ <br /> Exempt ❑Yes ❑ No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total l <br /> I, <br /> Exempt ❑ Yes ❑ No How Determined Total Amount c <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 />