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t <br /> PASCO COUNTY, FLORIDA <br /> Permit No. 1 <br /> Date Permitted <br /> Builder Name/Owner Name ¢ `L—'�-- Control#' <br /> County Paroel No. <br /> Address/Location 9D <br /> Ciassification/Type of Use le- 4Z� <br /> I TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2 r 3�2, <br /> F Exempt ❑Yes [] No How Determined / <br /> f <br /> impact Fee Amount $. / 2� Zone No. TAZ: <br /> { SCHOOL IMPACT FEE767 2—5 — <br /> 1 Account (056) Single-Family Detached House Amount $ Mr <br /> — <br /> ! ' (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt [j Yes [] No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit -Recreation�!6(lTottal <br /> Zone TOTAL AMOUNT $ `S'/r <br /> 4z <br /> Exempt []Yes ❑No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Totai <br /> Exempt ❑Yes ❑ No How Determined Total Amoulm- <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By t 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 />