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PASCO COUNTY, FLORIDA <br /> . s <br /> Permit No. - <br /> D Date Permitted - zo <br /> Builder Name/Owner Name Control#' <br /> County Parcel No. 25 ZO-21- a154o— D&O,,��Q"�D30 SubDiv: <br /> AddresslLocatlon tgyi% C71�on k Cale. <br /> Classification/Type of Use <br /> 1` TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> =f <br /> 7 Exempt ❑Yes ❑ No How Determined <br /> `4 Impact Fee Amount Zone No. TAM <br /> i SCHOOL IMPACT FEE <br /> 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 $ 74�6 <br /> Exempt ❑Yes ❑ No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑ Yes [] No How Determined Total Amount e <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 /> 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 fdr same. <br /> DATE RECEIVED BY <br /> c, RECEIPT NO. DATE BY <br /> �T , <br />