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PASCO COUNTY, FLORIDA <br /> Permit No. 4- 6 <br /> Date Permitted <br /> Builder Name/Owner Name )T X tf Control#* <br /> County Paf4al No, 2,-2l-G/ld-f�c ' � SubDiv: � ,`M& A�v <br /> Address/Location c�Z�-AID / l7+� Ae- <br /> ClassificationfType of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: .77— <br /> ( Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount s Zone No. TAZ: <br /> f i ' <br /> 3 SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ <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 i 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 />