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PASCO COUNTY, FLORIDA <br /> Permit No. 2- i <br /> d ,[ Date Permitted <br /> Builder Name/Owner Name Control#' <br /> County Paroel No, ��:Z-ZS-Z/- 009-11*0—030 SubDIv: <br /> Address/Location Of L <br /> CiassificationlType of Use ? <br /> I ,s ' <br /> ! i TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: Z43lvZ r <br /> Exempt ❑Yes [] No How Determined <br /> Impact Fee Amount $ � �dl7 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ 606, <br /> 2-6 <br /> i (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 $ 7of <br /> v56 <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 71 Z _ <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By A _"T 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 />