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PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted <br /> Builder Name/Owner Name Wiln Aei4Y� Control#' <br /> County Parcei No. 3i-25-24-616o4avo_3?_8b SubDiv: ct-e_alxrt� <br /> Address/Location 27005 d ore q Zwts' 4� <br /> Classification/Type of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt R Yes ❑ No How Determined <br /> Impact Fee Amount 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 �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 $ <br /> Exempt R Yes Fj No How Determined <br /> LIBRARY FEE <br /> Land AccountLand Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt n Yes E) No How Determined Total Amount <br /> RESOURCEFEE 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 recelpt 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 />