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PASCO COUNTY, FLORIDA <br /> Permit No... 2-0�l <br /> Date Permitted -25--/ <br /> I <br /> Builder Name/Owner Name bilwl <br /> h� /Control#' <br /> 15-4-. 16bc301(XOJ -MISQbDiv: T <br /> • County Parcel No. �� I <br /> Address/Location 3 27 /4-ll� r <br /> Classification/Type of Use �� <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: _ <br /> Exempt ❑Yes [] No How Determined r <br /> Impact Fee Amounts. / 4 7• Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ <br /> (057) Moblle Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt [ 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 Amount C" <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 />