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PASCO COUNTYo FLORIDA <br /> Permit No, Z06?6 <br /> �uu Date Permitted -27-(9 <br /> Builder Name/Owner Name teAn� ITV�`'� �- Control#' <br /> County Par,.cel No. 2�(-2(e-Z�'d j U D'ODOy7J-�i'3d SubDiv: GQGLe2 oaf <br /> Address/Location 3 9 q D( d4A),5"IM <br /> Classification/Type of Use S'�L'q (2rn�'(� <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: Zr J A <br /> Exempt ❑ Yes ❑ No How Determined <br /> Impact Fee Amount $. 3� 6 3�• Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (0561 Single-Family Detached House Amount $ 7 Be)5,28 <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt �Yes Q 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 /> 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 /> 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 thQ conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />