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PASCO COUNTY, FLORIDA <br /> I <br /> Permit No. 7l <br /> / Date Permitted — 3 <br /> Builder Name/Owner Name t6QfC Control#' j <br /> • County Parcel No. d4— <br /> Address/Location �7�ro Kul L / <br /> Classification/Type of Use i �'/���P7� <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> i <br /> Exempt Yes No How Determined <br /> Impact Fee Amount $. / 57 tb Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential j <br /> 123) Collection Fee <br /> Exempt �Yes Q No How Determined <br /> I <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ ��.1J� <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 /> i <br /> RESOURCE FEE , ERU <br /> TOTAL AMOUNT <br /> i <br /> Prepared By Checked By <br /> i <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 /> i <br /> RECEIPT NO. DATE BY <br /> - 1, <br />