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PASCO COUNTY, FLORIDA <br /> Permit No. 2 Z �5-3 <br /> � _ Date Permitted <br /> Builder Name/Owner Name T�T�r Control#' <br /> County Parcel No, 3��--21" 6 -D(�'jG?7-Q SubDiv: n&kes <br /> Address/Location Q(Z <br /> Classificationrfype of Us@ i /e <br /> `. TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑-Yes ❑ No How Determined <br /> _I <br /> Impact Fee Amount A 34 63A.CZ Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ r �l I <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt a Yes C1 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 $ 76?.s6 <br /> (c 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 /> RESOURCEFEE 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 receipt of-a copy of this form,placing <br /> the building permit owner on notice of this assessment and tha condlilons of payment for same. <br /> t: <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />