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PASCO COUNTY, FLORIDA <br /> Permit No. • Z•2( !� <br /> Date Permitted !Z^ <br /> Builder Name/Owner Name Control#' j <br /> County Par4el No. 2--Z,�-Z/—�7/���/?d � � SubDiv: S <br /> Address/Location 71/ & zr eat,-, <br /> i Classification/Type of Use <br /> iII TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: —3, vs 3 <br /> t 1 <br /> Exempt ❑Yes [] No How Determined <br /> r Impact Fee Amount s. 31f 3_7-0 Zone No. TAZ: <br /> f <br /> { SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ 1061) <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt [j Yes ❑ No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> I <br /> Recreation Account Recreation Credit -Recreation Total <br /> J. Zone TOTAL AMOUNT $ 7�f' <br /> Exempt ❑Yes ❑ No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total �,rrY <br /> Exempt ❑Yes [] No How Determined Total Amount 4 <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 />