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PASCO COUNTY, FLORIDA <br /> Permit No. �b 9 _ <br /> Date Permitted I Z-z&—l(3 <br /> Builder Name/Owner Name Control#' <br /> County Parcel No. 2 zl- Sr'OZ)_ _ bH /p SubDiv: Q �,Qr- <br /> Address/Location 215a �iba (A^. <br /> Classificationrrype of Use TIN (.e- 2 1,37 6, <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2, 374 <br /> Exempt ❑Yes [] No How Determined <br /> Impact Fee Amount $. � 6 3 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056Y Single-Family Detached House Amount $ 7, 167 9, 2,8 <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt b Yes Q No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreati'o-nn/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 Amount <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> i 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 />