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,y <br /> i PASCO C <br /> OUNTY9 FLORIDA <br /> _ Permit No. <br /> iJ <br /> Date Permitted <br /> Builder Name/Owner Name �t. t Je—� Control#' <br /> County Parcel No. ' Na d b-C SubDiv: 10011S <br /> Address/Location l94P �SY' <br /> Classificationtrype of Usk C51 <br /> TRANSPORTATION IMPACT FEE. Rate: Sq.Ft Unit: -- <br /> Exempt ❑ fifes ❑ No Haw Determined <br /> Impact Fee Amount $. Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount <br /> (057) Mobile Home <br /> (058) Other Residential <br /> • 123) Collection Fee <br /> Exempt Yes. ❑ No How Determined <br /> i <br /> !' PARKS AND RECREATION FEE- <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ 7>l­-TL <br /> Exempt n Yes ❑ No Haw 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--W. ILL 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 /> 1. <br />