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I <br /> ' PASCO COUNTY, FLORIDA <br /> Permit No. "2— t� <br /> Date Permitted <br /> Builder Name/Owner Name r �MYi Control#' <br /> County Parcel No. � 2,6-2/..A/l1d'/d7�0-Dl�t� SubDIV: 4 ►r� dO <br /> Address/Location 61 g6 `SI f l/i ag <br /> / <br /> } ClassiticatlanlType of Use S, /� Z�r <br /> i3� <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2- <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amounts 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 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 $ � �'�Z <br /> Exempt ❑Yes ❑ No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facillty.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 some. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />