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f <br /> . i <br /> PASC0 COUNTY, FLORIDA <br /> Permit No. Z 240 r _ <br /> Date Permitted 2-3-I <br /> Builder Name/Owner Name/ 164AAs, #Om 63 Control#' <br /> County Panel No. a-,Y- '2!—D��D-Oy��O fLO SubDiv: <br /> Address/Location '62f 7 4 Aff <br /> T <br /> Classification/Type of Use i <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: Z DDT' <br /> s <br /> l Exempt ❑Yes [] No // How Determined <br /> Impact Fee Amount $. 1 U� �' Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> I. Account (056) Single-Family Detached House Amount $ � O Z <br /> (057) Mobile Home <br /> (058) Other Residential <br /> j 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 $ <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 same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />