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PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted <br /> Builder Name/Owner Name knAer Control <br /> County Parcel No. SubDiv: <br /> cfliLrada <br /> Address/Location 3V33 SYA�w )4'1'0� <br /> ClassificationlType of Use 54/ <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit J*1- <br /> Exempt []Yes [] No How Determined <br /> Impact Fee Amount $, chi 632_.,60 Zone No. TAZ- <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ 7i 1910s� <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt �Yes n 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 $ 7 <br /> Exempt F1 Yes ❑ No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility,Account Facility Credit Facility Total <br /> Exempt F1 Yes ❑ No How Determined Total Amount <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By A�� Checked By <br /> U <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 OFFICS 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 />