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PASCO COUNTY, FLORIDA <br /> -- Permit No. z . <br /> Date Permitted <br /> I <br /> Builder Name/Owner Name A'Aem! Control#' <br /> County Parcel No. 27 Uo-Z/ 0//0-000 1 12*0 SubDIv: <br /> i <br /> Address/Location Alcc66i`n 4( of r. L-,,.e <br /> m U <br /> Classification/Type of UsQ <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: Z <br /> %! Exempt <br /> ,i p ❑- (es ❑ No How Determined <br /> Impact Fee Amount _$. 3i rP 3Z•dD Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> r; Account 4 (056) Single-Family Detached House Amount 7—R <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt [� 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 $ 74 9 jz <br /> Exempt ❑ Yes ❑ No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> �G <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑ Yes ❑ No How Determined Total Amount _ <br /> I <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-AM 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 tha conditions of payment for same. <br /> t - <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />