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PASCO COUNT(, FLORIDA <br /> Permit No. - 2-0 7 b 2- <br /> Date Permitted — <br /> Builder Name/Owner Name r Control#' . <br /> County Parcei No. _05 -Z6—Z/- 0`00 &W-OA&Div: <br /> Address/Location 4& wit <br /> ClassificatfonlType of Use I'A4 Z Z/ <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: Z/Z/C3 <br /> Exempt ❑ Yes [] No How Determined <br /> Impact Fee Amount $. 91 ��7 �� Zone No. TAZ: <br /> SCHOOL IMPACT FEE Z- <br /> Account (056) Single-Family Detached House Amount $ 9�� <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt H 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 AmouM44L_____ <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 />