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PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted —f2= <br /> Builder Name/Owner Name OrI5 Tr� �n Control# . <br /> County Parpel No. -2 1 % - — elM SubDiv: sl.1G!'�7� 1� <br /> Address/Location &S544 8�-Wk- <br /> Ciassificationfi'ype of Use jrf�lLlG �d�'� <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 445� <br /> Exempt ❑Yes [] No How Determined <br /> impact Fee Amount $. /�J 7 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) 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 /> Recreation Account Recreation CreditRecreation 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 n Yes ❑ No How Determined Total Amount <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By ` d 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 13Y 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 some. <br /> DATE q RECEIVED BY <br /> RECEIPT NO. DATE l 1� BY <br />