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PASCO COUNTY, FLORIDA <br /> Permit No. _Zo 7 7 Z <br /> Date Permitted <br /> Builder Name/Owner Name ZjfA G "43 Control#• <br /> County Parcel No. -Z/-��DO-D0000-��9(� SubDiv: � <br /> Address/Location 3zg7 11'es44✓dgh <br /> Classification Type of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 20y� <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $. _3 32 Zone No. TAM <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ 7&S, Z <br /> (057) Mobile 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 /> t• <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 0A 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 />