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y I <br /> L <br /> j <br /> s PASCO COUNTY, FLORIC�A <br /> Permit No. <br /> Date Permitted 0- <br /> Builder Name/Owner Name e Control#' <br /> County Parcel No. t-Z 1-61 CO-007d&()ZI U SubDiv: <br /> { Address/Location 2 1217 6 S 4 l'�Q <br /> ClassificationlType of Usq I [ m1 G <br /> I <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2 <br /> i <br /> Exempt ❑Yes ❑ No How Determined , <br /> rr <br /> i Impact Fee Amount $. '( is 3 Zone No. TAZ: <br /> j <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Famlly Detached House Amount $ _, <br /> (057) Mobile Home <br /> (055) Other Residential <br /> 123) Collection Fee <br /> Exempt []Yes 0 No How Determined � <br /> �= PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total I <br /> Recreation Account Recreation Credit Recreation Total !! <br /> Zane TOTAL AMOUNT $ <br /> - 1 <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 some. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />