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PASCO COUNTY, FLORIDA <br /> Permit No. 00 3 <br /> Date Permitted Z <br /> Builder Name/Owner Name Control#' <br /> County Par,,cel No. �d--Odd Na SubDiv: A4 IP c A;f4, <br /> Address/Location 32-77�, <44-"h f <br /> _ _/ r <br /> ClassiflcationlType of Use (. i Z 572 <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 7Z <br /> Exempt ❑Yes [] No How Determined <br /> Impact Fee Amount $. 3� 3 2-' Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ 7140�•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 /> �y a <br /> Zone TOTAL AMOUNT $ 76/,�6 <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 /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> 10 <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 />