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PASCO COUNTY, FLORIDA <br /> Permit No. • 27 <br /> Date Permitted <br /> Builder Name/Owner Name IN Control <br /> County Parcel No. 60'6t&O-0)64) SubDiv: 6t! /04M6 <br /> Address/Location ZcJ IL <br /> Classification/Type of Use k,11e z��l <br /> TRANSPORTATION IMPACT FEE Rate'. Sq.FtUnIt: Z, 7-3b <br /> Exempt nYes nNo How Determined <br /> Impact Fee Amount $, 3/ w-Do Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt 6 Yes f-I 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 $ 76,y. <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 n Yes [] No How Determined Total Amounv::�� <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 />