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PASCO COUNTY, FLORIDA <br /> Permit No. B <br /> Date Permitted7�3-Z� <br /> Builder Name/Owner Name (D Control#' <br /> County Parcel No. SubDiv: <br /> Address/Location P0 2. _1tXM-i-'5& <br /> ClassiticationlType of Use �,�irn���ts <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2� <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ (9, <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt d Yes How Determined <br /> 1 PARKS AND RECREATION"FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit -Recreation Total <br /> Zone TOTAL AMOUNT $ <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 /> 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 the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />