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PASCO COUNTY, FLORIDA <br /> Permit No. - 2 0(�C/9 <br /> ''rr C r Date Permitted <br /> Builder Name/Owner Name f�Y'Her T�h Ci Control#' <br /> County Parcel No. Ds=26—:?4_ f,i Uo-b(In-om r, SubDIv: <br /> Address/Location � v) o- Tkad STF <br /> Classificatlon/Type of Use le Mc 3 37k' <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: -3 3-7b <br /> Exempt ❑ Yes ❑ No How Determined <br /> Impact Fee Amount $. 3�(�3a• Zone No. TAZ: <br /> SCHOOL IMPACT FEE q <br /> Account (056) Single-Famlly Detached House Amount $ <br /> (057) Moblle Home <br /> (056) Other Residential <br /> 23) Collection Fee <br /> Exempt a 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 $ 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 /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By t 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 />