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` PASCO COUNTY, FLORIDA <br /> Permit No. o' <br /> Date Permitted <br /> Builder Name/Owner Name :DR_ fkI C, Control#' ' <br /> County Par*el No. 05-26 Z(0010-Q 07i70.0160 SubDiv: y) O <br /> AddresslLocatlon <br /> } ClassiflcationlType of Used c <br /> ( i TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt []Yes ❑ No How Determined <br /> Impact Fee Amount 2L Zane Na. TAZ: <br /> S <br /> 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 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 $ -74 Sk <br /> Exempt Yes ❑ No Haw 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 />