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PASCO COUNTY, FLORIDA <br /> Permit No. 20 S� <br /> f I �f, ,, '�p Date Permitted , /L-/2(� <br /> Builder Name/Owner Name Cbk fl i7/�'' CI�Pt C, Control# <br /> County Parcel No. SubDiv: r GI�J'�LC <br /> Address/Location <br /> ClassiflcatlonlType of Use L 2 23 8 <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑ Yes ❑ No How Determined <br /> 3 <br /> Impact Fee Amount $. �(0, 2 6D Zone No. TAZ: <br /> SCHOOL IMPACT FEE C <br /> Account (6561 Single-Family Detached House Amount $ Z 1 Z 2. 2-8 <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt [ Yes Q No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit RecreatiioonTotal <br /> Zone TOTAL AMOUNT $ 76q 6-6 <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`"C/ <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> i <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 />