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PASC® COUNTY, FLORIDA <br /> Permit No. ZO�l9 <br /> /- _ [� Date Permitted -Z <br /> Builder Name/Owner Name � �` ' l Meg Control#' ,� <br /> County Parcel No. 7_5-Z(v-,(.01 OD SubDiv: ' °mot �' <br /> !. Address/Location ' ow 1l AfkA <br /> Classification/Type of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2t 3 7� <br /> Exempt ❑Yes [] No . How Determined <br /> Impact Fee Amount $. 3,0 q'o Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Famlly Detached House Amount $ 796s-,LB <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt a 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 $ 7 56, <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 the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />