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I <br /> PASCO COUNTY, FLORIDA <br /> Permit No. 2 s <br /> Date Permitted <br /> Builder Name/Owner Name 0�'�'► Control#' <br /> County Parcel No. <br /> Address/Location <br /> Classification/Type of Use i �� 14 rYlr 4y 31 ` r <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: Jar 7" <br /> Exempt ❑Yes [] No How Determined <br /> Impact Fee Amount $. 3 3�' Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ '7 6025. Z� <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt a Yes ❑No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account -Recreation Credit Recreation Total <br /> e <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 /> 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 /> I <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply receipt ota 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 3 BY <br />