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PA►SCO COUNTY, FLORIDA <br /> Permit No. ZD S <br /> ,,�, /� Date Permitted <br /> Builder Name/Owner Name 'G`"' """'� L(� Control#' <br /> County Parcel No. SubDiv: <br /> Address/Location &ze,)SW-,t 6&se_ <br /> Classification/Type of-Use X!- <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 3 <br /> Exempt ❑ Yes ❑ No /How Determined <br /> Impact Fee Amount $. �/40 Zone No. TAZ: <br /> 4 SCHOOL IMPACT FEE p Z <br /> Account (0561 Single-Family Detached House Amount $ 7, <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 $ 76/ S6 <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 Amoun <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 />