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PASCO COUNTY, FLORIDA <br /> Permit No. 211 <br /> Date Permitted <br /> Builder Name/Owner Names 5 Control# . <br /> County Parcel No. SubDIV: <br /> AddresslLocation 05,626,5 <br /> Classificationfrype of Use cSi}'lGle y��m. <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit:3;4a 4 � <br /> Exempt n Yes [l No How Determined <br /> I Impact Fee Amount $ �� Zone No. TAZ: <br /> I <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ 7,, 14 y <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt "Yes n 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—F,6,1 <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 _ <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By LbT:�4= 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 condltions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />