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PASCO COUNTY, FLORIDA <br /> Permit No, <br /> ,Q Date Permitted <br /> Builder Name/Owner Name Control# <br /> County Par,.cel No. —Lf—b DO—()660b—D5D 0 SubDiv: c51`(/I° <br /> Address/Location L04— )Ozae ' <br /> Classification/Type of Use c51 <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: Zi 3 2 . <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $3i •c7b Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (0561 Single-Family Detached House Amount $ 7i 60 5 2.8 <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt a 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?• c5,6 <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 l <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 />