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PASCO COUNTY, FLORIDA <br /> Permit No. Z/ 3 <br /> A �[ / Date Permitted S— . <br /> Builder Name/Owner Name _ /t I fDrTOn Control#' <br /> County Papcel No. 0J'/-26-2-(-b100-606M-0530 /SubDiv: <br /> li chi <br /> Address/Location �Pli rlS zra /ac , <br /> 1 Classification/Type of Use <br /> C • <br /> TRANSPORTATION IMPACT FEE. Rate: Sq.Ft Unit: 2t 9,51 <br /> @ Exempt ❑ Yes ❑ No How Determined <br /> Impact Fee Amount $. 3 4 3z Zone No. TAZ: <br /> i SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ 7 80 Z8 <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 $ <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 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 recelpt of•a copy of this form,placing <br /> the bullding permit owner on notice of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />