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PASCO COUNTY, FLORIDA <br /> -- -- - Permit No. .• <br /> � Z <br /> Data Permitted — <br /> Builder Name/Owner Name Alt& Control#' <br /> County Parcel No. _2(p—L$-21—6 L&—O � —WOSubDiv: 2Q l <br /> Address/Location (go 1 S G)Ao&A- <br /> ClassificatloNType of Use �f./�G ko 441YI, <br /> f <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit:_ <br /> F: Exempt Yes RNo How Determined <br /> Impact Fee Amount <br /> $. 3/6 .00 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ - Z <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) 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 $ 7�p •..�,6 <br /> Exempt ❑Yes ❑ No How Determined <br /> LIBRARY FEE <br /> �M Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑ Yes ❑ No How Determined Total Amount <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> f Prepared By I Checked,By <br /> Y <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL.INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> '. <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.re'celptof a copy of thla 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 />