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PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted <br /> Builder Name/Owner Name Control#, <br /> County Parcel No. 32_ 2_6 21 00y-f) 01�00 0aQ SubDIv: Z3t <br /> Address/Location o4eer Jq feth- AL <br /> Classfflcationrrype of Usq ;SL1/1j IV L'rrt <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit 3, 713 <br /> Exempt Fj Yes n-No How Determined <br /> Impact Fee Amount Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ 9?4 q16 9-6 <br /> (057) Mobile <br /> Home <br /> (058) Other Residential <br /> d 23) 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 /> Yes No How <br /> Exempt f Determined <br /> LIBRARY FEE. <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt []Y6s ❑ No How Determined Total Amoun��_ <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Chocked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINALINSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE 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 tome. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />