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PASCO COUNTY, FLORIDA <br /> Permit No. <br /> /n�- _ Date Permitted Z�I� <br /> Builder Name/Owner Name 4GWI9-,(- °V Control#' <br /> County Par,.cel No. �6'24-24- (?I LI)D 61)000'L)b O()SubDiv: 99d&�Ci1lc� <br /> Address/Location k-A / <br /> Classification/Type of Use �? �1 3 <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 3 <br /> Exempt ❑Yes [] No How Determined <br /> Impact Fee Amount $. �� 3A- Zone No. TAZ: <br /> SCHOOL IMPACT FEE /�g <br /> Account (056) Single-Family Detached House Amount $ �, <br /> 26 <br /> (057) Mobile Home <br /> (058) 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 $ 7 <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 /> i <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> I <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 />