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PASCO COUNTY, FLORIDA <br /> Permit No. 2—o <br /> 6,51 <br /> /� <br /> 11 '' Date Permitted 2- <br /> Builder Name/Owner Name, M t6Y_6 Control#' 1 <br /> County Parcel No. (]��—2(-b l n0^ ZbO--bb3D SubDIV: �I I1�e' dz) <br /> Address/Location 7 72 dYt '`4 S� <br /> Classification/Type of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑ Yes ❑ No How Determined <br /> Impact Fee Amount $. c� 1.(P32—, Zone No. TAZ: <br /> SCHOOL IMPACT FEE �7 I <br /> Account (056) Single-Family Detached House Amount $ ! t q 4,ZeS <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt a 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 $ <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 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 />