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E PASCO COUNTY, FLORIDA, <br /> Permit No. <br /> Date Permitted 2-Z..Zr72c� <br /> Builder Name/Owner Name Control#' <br /> County Parcel No. z�� ..Zl-DI <1-�0 -al b SubDIv: Z&-WW4!a <br /> Address/Location <br /> Classiffoationlrype of Use r <br /> fm <br /> TRANSPORTATION IMPACT FEE . Rate: Sq.Ft Unit: <br /> Exempt ❑Yes No How Determined <br /> Impact Fee Amount $. ✓1� � (z Zone No. TAZ: <br /> r SCHOOL IMPACT FEE r/ <br /> Account (056) Single-Famlly Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 923) Collection Fee <br /> Exempt [ 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 $ ZkL cZ, <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 ArnouIA4. <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> i <br /> Prepared By ` Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL t E 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 />