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PASCO COUNTY, FLORIDA <br /> Permit No. Q6.1 <br /> Date Permitted —27-ZD <br /> t. Builder Name/Owner Name �� TrO Control#' ' <br /> I <br /> County Parcel No.'Q Z(o Z1 p 13 61OD6 Cal 2--b. SubDiv: S+ 1"ra w <br /> Address/Location <br /> Classificationfrype of Usq - �I rl'P <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 3 7/3 <br /> Exempt ❑Yes [].No How Determined <br /> Impact Fee Amount $3 t 63Z,dU Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (ON), Single-Family Detached House Amount $ <br /> (057) Mobile:Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt �]Yes- .0 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 _$.7�09•S`�p <br /> 4 <br /> Exempt ❑Yes © No How Determined <br /> j <br /> LIBRARY FEE <br /> Land Adcounf Land Credit Land Total <br /> Facility Account„ Facility Credit Facility Total <br /> Exempt ❑Yes E] No How Determined Total Amount�j _ <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 LtaTED'HAVE <br /> BEEN`PAID,AND , <br /> RECEIPTED FOR BY A CENTRAL PERMITTING.OFFICE•OF PASCO COUNTY <br /> Acknowledgement below dogs not Imply acceptance of concurrence,.but,simply recelpt ofa copj of.thls form,placing . <br /> the building OrmIt owner on notice of this assessment and,thq conditions of p'aymgnt for same. <br /> DATE RECEIVED,BY <br /> RECEIPT NO. DATE BY <br />