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PASCO COUNTY, FLORIDA <br /> Permit No. '7SD <br /> Date Permitted <br /> Builder Name/Owner Name CD lc Control#' . <br /> County Parcel No. 322,5L 21 0/00 60&-D Q% SubDIv: vim' t&9 9dD <br /> Address/Location _ Y� rzm 4J <br /> Classiticationlrype of Usq <br /> TRANSPORTATION',IMPACT FEE Rate: Sq.Ft Unit: �2 u <br /> Exempt ❑Yes n-No How Determined <br /> Impact Fee Amount $.—��r4=32,. Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ q-tl <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt [ Yes .[]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 $-76 ` <br /> Exempt ❑Yes .© No How-Determinddli <br /> i LIBRARY FEE ' <br /> Land Account Land Credit Land Total ` <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes '0 No How Determined Total Amount s <br /> RESOURCE FEE ERLI <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INOECTION <br /> PERFORMED UNTIL:TkE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND ' <br /> RECEIPTED FOR BY A CENTRAL'PERMITTING'OFFiCE•OF PASCO COUNTY <br /> Acknowledgement belov"does not imply acceptance of concurrence,but simply receipt of-a copy of this form;piecing <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 />