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PASCO COUNTY, FLORIDA <br /> Permit No. - 2VIIX <br /> Date Permitted ' 9f—'Y—�(77 <br /> Builder Name/Owner Name Aa-r- /&<944(:f Control#' <br /> County Parcel No. SubDIv: 14WK 41 <br /> Address/Location <br /> Classificatlon/Type of Use 2, 37-2— <br /> TRANSPORTATION IMPACT FEE Rate: Sq-Ft Unit: <br /> Exempt n Yes ❑ No How Determined <br /> impact Fee Amount Afi3 CIO Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ 7,5 0 9, <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt 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 $ 7 4P- <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 F1 Yes E] No How Determined Total Amount <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By r Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED.OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> I 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 recelptof-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 />