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PASCO COUNTY, FLORIDA <br /> _ Permit No.__1 <br /> -- Date Permitted Z 7 <br /> —Builder Name/Owner Name i1/ t Control#' <br /> i <br /> County Parcal No. Subbly: 3,I ULIRd7) <br /> '� � e, l e <br /> Address/Location <br /> ClassiticationtType of Usk 'Alg�*/' <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: . <br /> Exempt ❑ (as ❑ No How Determined <br /> Impact Fee Amount $. .3, 32. <br /> Zone No. TAZ: <br /> s SCHOOL IMPACT FEE <br /> Account 056 Single-Family Detached House Amount $ . <br /> (057) Moblle Home '^! <br /> (658) Other Residential <br /> 23) Collection Fee <br /> Exempt d Yes ❑No How Determined <br /> i • <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ Ga9p6� <br /> t <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 <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 /> }: <br /> - BEEN_PAID AND '. <br /> ;.. - RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> Acknowledgement,below does not Imply.scoeptance of concurrence,but simply.recelpt 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 /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />