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PASCO COUNTY, FLORIDA <br /> Permit No. - 206 <br /> Date Permittedz� <br /> Builder Name/Owner Name ControW <br /> County Parcel No. 02,-2.10-2,(—o3,v P0M-G,*76 SubDIV: 75) <br /> Address/Location <br /> Classification/Type of Usq 0^,4 t xf <br /> TRANSPORTATION IMPACT FEE - Rate: Sq.Ft Unit: <br /> Exempt []Yes [] No How Determined <br /> Impact Fee Amount � t Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ <br /> (057) Mobile Home <br /> (056) Other Residential <br /> 23) Collection Fee <br /> Exempt d Yes []No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation/Tootal <br /> Zone TOTAL AMOUNT $ ��%•�� <br /> Exempt n Yes ❑ No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facllity.Account Facility Credit Facility Total <br /> Exempt []Yes ❑ No How Determined Total Amount�� <br /> RESOURCE FEE /n�� , ERU 3 <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 some. <br /> DATE RECEIVED BY� <br /> RECEIPT NO. �Gb DATE BY � : 3�I <br />