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PASCO COU TY9 FLORIDA <br /> Permit No. .!2—?=J J?': <br /> Date Permitted 2-ZO— <br /> Builder Name/Owner Name Control# <br /> County Parcel No. SubDiv: �A S <br /> Address/Location7' <br /> Classification/Type of Use �` 1�2 s �2 <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2-4 S� <br /> Exempt ❑ Yes ❑ No How Determined <br /> impact Fee Amount $. Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ � g6�' <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt dyes []. 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 $ 71 <br /> Exempt ❑ Yes ❑ No How Determined <br /> LIBRARY FETE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> r <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 payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />