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1 � <br /> PASCO COUNTY, FLORIDA <br /> Permit No. Z 1 6 7 z <br /> Date Permitted -Za-- <br /> Builder Name/Owner Name WC-d i2j— 1-TUn"t °S CC�o((ntrol#' <br /> County Parcel No. 24-2(�— Z1—0<<0^0 3MbDiv: �O—A Q1Oe.r <br /> Address/Location 31 <br /> Classification/Type of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 3 <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $. 3,6az Zone No. TAZ: <br /> SCHOOL IMPACT FEE Account (056) Single-Family Detached House Amount $ (—7 <br /> boo,Zb <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt a 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� <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 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 />