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4, 1 <br /> I <br /> l <br /> PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted <br /> Builder Name/Owner Name 11 in 94 � � Ztt�� Control#' <br /> County Parcei No. 02--*-V-().3m-00000.�617cc p SubDiv: akA_Rw <br /> _ <br /> Address/Location2_-f &,St*WJ Cl rck, <br /> Classificationfrype of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt [] Yes [] No How Determined <br /> Impact Fee Amount $. �rP�.. Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ <br /> (057) Mobile Home <br /> I. (058) Other Residential <br /> 123) Collection Fee <br /> Exempt Yes ❑ No How Determined <br /> I. PARKS AND RECREATION FEE- <br /> Land Account Land Credit Land Total <br /> t <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ '7(v"r- <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 ti ' _ ^� 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 />