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P'ASCO COUNTY, FLORIDA.. <br /> Permit No. <br /> Date Permitted <br /> Builder Name/Owner Name t,_ 064 i C_ Control# <br /> County Par4ai No. <br /> Address/Location -70,36 3, (le-f '6 V <br /> Classification/Type of Use <br /> i TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit. c3 <br /> Exempt []Yes ❑ No <br /> o How Determined <br /> Impact Fee Amount $.allo��• Zone No. TAZ: <br /> i <br /> SCHOOL IMPACT FEE —7 <br /> Account (056) Single-Family Detached House Amount $ /� i505 <br /> 2t <br /> (057) Mobile Home <br /> ' (058) Other Residential <br /> 23) Collection Fee <br /> Exempt 6 Yes n 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 $761,56 <br /> Exempt n Yes ❑ No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes n 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 same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />