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PASCO COUNTY, fLORIDA :-30 <br /> � <br /> Perm No. - <br /> Date mltted Z� <br /> Builder Name/Owner Name ��.., tt(11/ylltvu t�W' Q of#' ' <br /> County Parcel No, 3 SubDiv: 4 C4L11- or3)► <br /> Address/Location % 62.6 ` r_Cr`frat rf Ce,_ d" <br /> Classification/Type of Use ► <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑Yes No How Determined <br /> impact Fee Amount $' 4'52.R Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt 6 Yes Q 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 $ ,�9 cs <br /> Exempt ❑Yes f"I No How Determined <br /> f LIBRARY FEE <br /> ' Land Account Land Credit i Land Total <br /> Facility Account, Facility Credit i Facility Total <br /> Exempt ❑Yes ❑ No How Determined ; Total Amedlft���� <br /> RESOURCE FEE j 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 THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAiLI 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 />