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PASCO COUNTY, FLORIDA <br /> Permit No. 7- C 3 <br /> Date Permitted 7--Z-$;-1 7 <br /> Builder Name/Owner Name 2) Control <br /> -2 - - 01100-0116 SubDiv: Sd" <br /> CountyParpelNo. 05 4 2-t_0100 <br /> Address/Location (0 8 wa-w <br /> Classificationrrype of Use St,nX,- Ye- <br /> TRANSPORTATION IMPACT FEE Rate: Sq.FtUnit: <br /> Exempt []Yes FINo How Determined <br /> Impact Fee Amount $,,31 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) 'Single-Family Detached House Amount $ 26 <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt �Yes n 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 $ 7(o <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 F1 Yes ❑ No How Determined Total Amount <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> U U <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 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 />