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PASCO COUNTY, FLORIDA <br /> Permit No. .7 <br /> Date Permitted -Z3-70 <br /> Builder Name/Owner Name ) Control#' ' <br /> County Parcel No. 3,2 ZS 2-1 n(M 618-M 6 ubDiv:5, r� <br /> Address/Location A 1:z&q S � e - <br /> Classificationtfype of Usq &5t--tb40 Znll <br /> TRANSPORTATION.IMPACT FEE Rate: ( Sq.Ft Unit: 3 <br /> Exempt ❑Yes ❑-No How Determined <br /> Impact Fee Amount $(1-3,2— Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (058) Single-Family Detached House Amount $ 6f q111 <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt [ 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 s <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 Amount <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By <br /> i Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL 13E ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTEWFOR 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 notica of this assessment and the conditions of payment for same: <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />