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PASCO COUhITY, FLORIDA <br /> Permit No. - 2, 3 <br /> Date Permitted <br /> Builder Name/Owner Name Sbi Control W.. <br /> County Parcel No. GAS-2o--21 0160j°6 a)-b5 6 �/I SubDiv: �i! <br /> Address/Location 4 f 1 j? SKI p Aixat l/ <br /> Classification/Type of Use & /P mi o 2—, cPyq <br /> I ' <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: _2-1 <br /> E <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $.,3j(e,5Z-VD Zone No. TAZ: <br /> { SCHOOL IMPACT FEE —? <br /> Account (056Y Single-Family Detached House Amount 9062-6 <br /> (057) Mobile Home <br /> (058.) Other Residential <br /> 123) Collection Fee <br /> Exempt [}Yes Q 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 $ 7to�-v'~,6 <br /> Exempt D 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!Fd::::� -- <br /> RESOURCE FEE , ERU <br /> TOTAL AMOUNT <br /> Prepared By U 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 tha conditions of payment for some. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />