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PASCO COUNTY, FLORIDA <br /> Permit No. Zz693 <br /> Date Permitted <br /> Builder Name/Owner Name ` Control#' . <br /> County Partei No, !l0-h��J�ry�7 SubDly: <br /> Address/Location 3 <br /> e <br /> j Classificatlonrrype of Use 5;4 P <br /> s <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: zj <br /> i E <br /> { Exempt ❑Yes [] No How Determined <br /> Impact Fee Amount $� 32• l� Zone No, TAZ:. <br /> i <br /> SCHOOL IMPACT FEE <br /> j Account (056) Single-Family Detached House Amount $ z &96 2-6 <br /> { (057) Mobile Home <br /> (058) Other Residential <br /> 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 />