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PASCO COUNTY, FLORIDA <br /> Permit No. ZD 7� <br /> Date Permitted <br /> Builder Name/Owner Name ��(e! Control#• <br /> County Parcel No. IS z d-2-1 0 3d-6630 0 0/0 SubDiv: <br /> Address/Location c7-7 6 Z. kle dfW—t— <br /> Classification/Type of Use -�Y� <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: -- <br /> Exempt ❑Yes ❑ No// How Determined <br /> Impact Fee Amount $. lt7J�7 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (0561 Single-Family Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 723) Collection Fee <br /> Exempt �Yes a 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 $ PO. 0,6 <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 Amou <br /> RESOURCE FEE '� ERU 3 <br /> TOTAL AMOUNT (' . 0 <br /> (� <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 some. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br /> I <br /> I <br />