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i <br /> PASCO COUNTY, FLORIDA <br /> Permit No. Z f S 72 <br /> 7� Date Permitted 7-24(5 <br /> Builder Name/Owner Name (0 Control#` ' <br /> County Par4ei No. B-(SS�0 SubDiv: 57 ltl - d d <br /> Address/Location r7b�� r ( '�Q ! t'� 1 1�10 <br /> Classification/Type of Use <br /> s � <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: Zr 23Y� <br /> I � <br /> Exempt []Yes ❑ No How Determined <br /> i <br /> j Impact Fee Amount $. 3t 3 DO Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ SOS <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 Credit Recreation Total <br /> Zone TOTAL AMOUNT $ 7''t• �� <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 q , 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 />