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PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted <br /> Builder Name/Owner Name Control#' <br /> County Parcel No. SubDiv:0 100—po7oo-0/2- <br /> Address/Location -70060 zvc) <br /> Classification[Type of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq-FtUnIt: <br /> Exempt []Yes [] No How Determined <br /> Impact Fee Amount $. 34-32,& Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ -71805, 2,8 <br /> (057) Mobile Home <br /> (058) Other Residential <br /> (123) Collection Fee <br /> Exempt n Yes F] 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 F] Yes n No How Determined Total Amountc__, � <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> Lj <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 ot-a'dopy of this form,placing <br /> the building permit owner on notice of this assessment and the conditions,of payment for some. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />