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PASCO COUNTY, FLORIDA <br /> Permit No. 20?(57 <br /> 1111 Date Permitted 2— <br /> Builder Name/Owner Name A) M �kC Control# <br /> County Parcel No. 05. 26- I 0 --U 700- 160 SubDIV: cS� <br /> Address/Location r, I rn 2 , �6 <br /> ClassiflcatioNType of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2 2, <br /> Exempt ❑ Yes ❑ No How Determined <br /> Impact Fee Amount $ �', (�32• Zone No. TAM <br /> SCHOOL IMPACT FEE <br /> Account (0561 Single-Family Detached House Amount $ <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 /> i <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ -7 6A, 5b <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 C " _ <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 /> 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 />