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PASCO COUNTY, FLORIDA <br /> �293Permit No. <br /> I /� Date Permitted — <br /> t Builder Name/Owner Name , /i./ r Control#' <br /> County Parcel No. 7_�.7 4l,}_903co Q70SubDiv: <br /> Address/Location (illA¢Rf-' c3 ]`bk. <br /> tk <br /> M <br /> Classification/Type of Us@ <br /> }` q <br /> TRANSPORTATION IMPACT FEE Rate: <br /> S .Ft Unit: 9 <br /> fi Exempt ❑ (es ❑ No How Determined <br /> 4. <br /> Impact Fee Amount $., i(P cJ�•yU Zone No. TAZ: <br /> ! } SCHOOL IMPACT FEE <br /> E �• <br /> Account (056j Single-Family Detached House Amount $ <br /> r (057)--•�Moblie Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt b Yes Q 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� <br /> Exempt ❑Yes ❑ No How Determined <br /> ,r LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> R <br /> x Facility Account Facility Credit Facility Total <br /> Exempt ❑ Yes ❑ No How Determined Total Amount <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By 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 /> a,- <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY <br /> t. 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 thq condltlons of payment for some. <br /> f - . <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />