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l <br /> t I <br /> I � <br /> PASCO COUNTY, FLORIDA <br /> 'Permit No. 9,/Z <br /> Date Peonitta p_( <br /> i Bufider Name/Owner Name !y1 aA Control#" <br /> County Parcel No. QL"'a 1-444-0066-_06_Suubb�Div: r/ <br /> Address/Locadon <br /> ClassiRcattonrrype of Us$ z' ! i <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: I <br /> 3 Exempt ❑Yes ❑No How Determined 3 <br /> Impact Fee Amount Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (066) Single-FamHy Detached House Amount $ <br /> (057) Mobile Home <br /> (055) Other Residential <br /> 23) Collection Fee <br /> Exempt dyes Q No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total i <br /> Recreation Account Recreation Credit -Recreation Total w <br /> Zone TOTAL AMOUNT $ 769 <br /> Exempt ❑Yes 0 No How Determined ! <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facillty.A=unt Facility Credit Facility Total <br /> Exempt ❑Yes ❑No How Determined Total Amount � l <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By r 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 OFFICROF PASCO COUNTY <br /> Acknowledgement below dose not h"acceptance of concurrance,but Simply raceptota copy of We form,placing <br /> the building permlt owner on notice of We assessment and the conditions of payment for some. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />