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I <br /> '= PASCO COUNTY, FLORIDA <br /> Permit No. ZjD 6 <br /> ++,, Date Permitted <br /> Builder Name/Owner Name "j'l� 17��-S Control# 1 <br /> County Parcel No, �0"?�))-t 15 (���G�G��^1� SubDiv: <br /> Address/Location <br /> Classification/Type of Use � 'L <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: ,?—,(37� <br /> Exempt []Yes ❑ No How Determined <br /> Impact Fee Amount $. 31 6 3:Z,0D Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ � • Z� <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 paymentfor same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />