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PASCO COUNTY, FLORIDA <br /> i <br /> Permit No. <br /> �Q Date Permitted Z- <br /> Builder Name/Owner Name c jl� i�PtP Control# <br /> County Parcel No. 3 5-2-5 Z1-G/9�L /000-GU SUbDIV: <br /> Address/Location lUdd d C <br /> r ClassificatioNType of Usp S (P is <br /> i. TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> h T� <br /> 5d <br /> Exempt ❑Yes ❑ No How Determined <br /> s° Impact Fee Amount $. It 63 Zone No. TAZ: <br /> ? SCHOOL IMPACT FEE <br /> F Account (056) Single-Family Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt a Yes ❑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� fro <br /> r Exempt ❑Yes ❑ No How Determined <br /> LIBRARY FEE <br /> W. Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> y. • <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 /> r= <br /> Acknowledgement below does not Impty 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 some. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />