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PASCO COUNTY, FLORIDA <br /> Permit No. r TJ <br /> t ���� Date Permitted - P- _ <br /> Builder Name/Owner//Name t Control#' <br /> U County Paroei No. 64_74-c>IC0.00700-bWd SubDIV: S,iyd U� � <br /> Address/Location7066 St A/ V.D <br /> l <br /> Ciassificationrfype of Use `v 1 <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt []Yes [] No / How Determined <br /> Impact Fee Amount $. �.r�19 32 Zone No. TAZ: <br /> 1 SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ / ("}� r Z� <br /> (057) Mobile Home <br /> ' (058) Other Residential <br /> 23) Collection Fee <br /> Exempt 6 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 $ 7K. <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 />