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PASCO COUNTY, FLORIDA <br /> Permit No. <br /> /_ Date Permitted ,? 7 <br /> Builder Name/Owner Name i4/t✓14/ Control#' <br /> County Par,.cel No. 6100,,661�00-6637) SubDIV: <br /> jAddress/Location '7 T kUm <br /> Classification/Type of Use s1 e <br /> TRANSPORTATION IMPACT FEE Rate: SSqq.Ft Unit: <br /> Exempt ❑ Yes [] No How Determined <br /> Impact Fee Amount $. Jl�3� Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (0561 Single-Famlly Detached House Amount $ 7., /92, <br /> (057) Mobile Home <br /> (056) Other Residential <br /> 123) 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 $ :UZ- <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 Amoun <br /> RESOURCE FEE , ERU <br /> TOTAL AMOUNT 4� <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 />