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.= PASCO COUNTY, FLORIDA <br /> Permit No. Z lG Z f _ <br /> Date Permitted Br/ZA _ <br /> Builder Name/Owner Name Control#' <br /> —2 i-Z1-b 110-OC�OD--T 2-ae) SubDiv:: <br /> County Parcel No. 2# <br /> Address/Location 9 c( 5 C-16,P _ <br /> Classification/Type of Usk cSiY1C,fe / <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 7 i 37Z <br /> Exempt ❑Yes []No How Determined <br /> i Impact Fee Amount 6 3 .0 Zone No. TAZ: <br /> ,l <br /> I SCHOOL IMPACT FEE <br /> i Account (056) Single-Family Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt U 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 $ 76 r.✓56 <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 _�t 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 recelpt ofa 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 />