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' PASCO COUNTY, FLORIDA <br /> Permit No. .�- <br /> Date Permitted <br /> Builder Name/Owner:Name , Control#' <br /> r <br /> County Parcel No. 7 2_5 Z1 b/f)t9 a4 30[)f�014, SubDiv: 43 U D <br /> Address/Location (/ <br /> r � <br /> Classification/Type of Use <br /> TRANSPORTATION IMPACT FEE Rate: SQ.Ft Unit: Z j 23 <br /> Exempt n Yes -No How Determined <br /> Impact Fee Amount j. $. �`l��,t30 Zone No. TAM <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Famlly Detached House Amount $ ,y /f <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 $ <br /> Exempt ❑Yes No How Determined <br /> 4 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 WILL BE ISSUED..OR FINAI:INSPECTION <br /> PERFOR <br /> MED UNTIL THE TO t'AL.AMOUNTS LISTED HAVE <br /> BEEN.PAIDUD <br /> RECEIPTED,FOR BY A CENTRAL PERMITTING OFFICE:OF PASCO COUNTY <br /> Acknowledgement below does not imply acceptance of concurrence,but simply recelpt of-a copy.uf.thls form,placing' <br /> the building permit owner on noticg of flits assessment and the'c ondlilons of payment for seine. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />