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PASCO COUNTY, FLORIDA <br /> Permit No. T� <br /> Date Permitted �Z <br /> Builder Name/Owner Name i f An!Gr Control#` . <br /> County Panel No. <br /> Address/Location 3 al a <br /> Classhlcation/ ype of Use d? fe rZt <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 6 U _ <br /> Exempt ❑Yes [] No How Determined <br /> Impact Fee Amount $.IS/ �J?2 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ 7�BOA• `� <br /> (057) Mobile Home <br /> (056) Other Residential <br /> 123) Collection Fee <br /> Exempt �Yes Q 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 Amoun "-- <br /> RESOURCE FEE , ERU <br /> TOTAL AMOUNT <br /> r <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 recelpt 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 />