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PASCO COUNTY, FLORIDA <br /> Permit No. I <br /> Date Permitted �27"za <br /> ` 0 Builder Name/Owner Name 1 Control W . <br /> k� / <br /> County Parcel No, 35---2.�••zIr 0/q0- 0(Cb 0-61 f�SubDiv: _X-WAYwz,_4 <br /> Address/Location 7 71L) <br /> Classiflcadonlrype of UsQ <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 21 3(o2_ <br /> Exempt ❑Yes ❑.No How Determined <br /> Impact Fee Amount -$. 32 &3 , Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ �r �t'�� <br /> (057); Mobile Home <br /> (058)- Other Residential <br /> 23)i Collection Fee. <br /> Exempt a Yes. .❑No How Determined <br /> PARKWAND RECREATION FEE <br /> Land Account j Land Credit Land Total <br /> Recreation Account Recreation Credit -Recreation Total / <br /> r Zone TOTAL AMOUNT $, 7 <br /> Exempt ❑Yes ® No How Determined <br /> LIBRARY FEE <br /> Land Acbeunt 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.IJNTILTHE TOTAL AMOUNTS LISTED HAVE <br /> '. ' BEEN.PAID.ANt)' <br /> RECEIPTED FOR BY A CENTRAL'PERMITTING OFFICE.OF PASCO.000NTY <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply recelpt ON copy of this form,placing <br /> aymantfor s <br /> the building permit owner on noUce of this assessment and the conditions of pame. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />