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k <br /> } <br /> PASCO COUNTY, FLORIDA <br /> Permit No. -2�- Zf Z. <br /> Date Permitted z- <br /> Buiider Name/Owner Name i Control#' . <br /> County Pareei No. viz-•,Z � �6 j�G�� /TG�- D�1 tJ SubDiv: S/ t Y _ <br /> Address/Location <br /> r <br /> i I Gassificatlanftype of Use Slx�>� �C✓ <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: ,2- <br /> Exempt E]Yes [ No How Determined <br /> r <br /> f Impact Fee Amount $. -3j(0 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ 71 26 <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt Yes n 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 $ 7, 9f. <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 0 r 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 />