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PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted <br /> Builder Name/Owner Name cy1J Control# <br /> County Parfet No. 00-007Od-bi t6 <br /> lr SubDly: <br /> i Address/Location `7 6(Oro �ti �� 4,�rya at V-b <br /> ClassificationfType of Use `Jl 12 <br /> i <br /> TRANSPORTATION IMPACT FEE - Rate: Sq.Ft Unit: 53 <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact flee Amount $. (o �J�' 0-0 ZoneNo. TAZ: <br /> ' SCHOOL IMPACT FEE <br /> r Account (056) Single-Family Detached House Amount $ 7 B�J�2-b <br /> i s (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 $ S(a <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<6)== <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 />