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PASCO COUNTY, FLORIDA <br /> Pilrmlt No. <br /> Date Pa mltted <br /> Builder Name/Owner Nam Control#' <br /> County Parcel No. IDS-26-2-1"0 1 Cam-W-gQMb SubDiv:_ <br /> Pa/L t <br /> AddresslLocallon Z 51 i <br /> Classificabon/rype of Usg a <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: r <br /> Exempt ❑Yes []No How Determined <br /> 1 Impact Fee Amount $. �{ ✓ v Zone No. TAZ: <br /> ! SCHOOL IMPACT FEE 0,!n 25 <br /> Account (056) Single-Family Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> .Exempt d 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 2°v k <br /> Exempt ❑Yes ❑No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total j <br /> Facility.Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑No How Determined Total Amour t I. <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By ` Checked By <br /> NO CERTIFICATE CCOCCUPANCY 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 dose not Imply acceptance of concurrence,but simply recolpt of a copy of this form,placing <br /> the building permit owner an notice of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />