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PASCO COUNTY, 'FLORIDA <br /> Permit No. 1 z Z <br /> Date Permitted 5-Zl_2 <br /> Builder Name/Owner Name _ / Control# . <br /> County Par.,cel No. t2 6, 7-0-7a -bl00,AOb-66ZD SubDiv: Ji o6wh____ <br /> Address/Location b,60q 62XiLLD4 Roe, <br /> Classification/Type of Use <br /> SI � <br /> r F <br /> i TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: I3 <br /> . Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $• 31 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ 2.A <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 923) 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 $ <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 Amodq. � <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 />