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PASCO COUNTY, FLORIDA <br /> Permit No. <br /> `` ��//____ Date Permitted <br /> Builder Name/Owner Name l.P�A— / IiWeJ Control#' <br /> County Par..cel No. ` 1J�-2-6-L(-- OWO — 0MZ— SubDiv: <br /> Address/Location 5 g Zk '-�&e <br /> ClassiflcatlonlType of Use le_ ` <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: -?Z 97C0 <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $ 6c3, Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (0561 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 $ 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 AD 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,placl <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 /> I <br />