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'. PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted <br /> Builder Name/Owner Name I.TZ Control#' <br /> County Parcel No, c3Z 26 24o 61 SubDIv: cS, Gar' <br /> Address/Location _ � ! CS-J�eer--136A Dr— <br /> Classification/Type of Usq Sal��Ea f tir <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑Yes [].No How Determined <br /> Impact Fee Amount $, 165 Z— 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 AMOUNTS- <br /> Exempt ❑Yes © No How Date <br /> rmined <br /> l LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑ No How Determined Total Atnount4Q)-- <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By t Checked By <br /> NO CERTIFICATE.OF.00CUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE_TQTAL AMOUNTS LISTED HAVE <br /> BEEN PA16 AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE-OF PASCO COUNTY <br /> Acicnowtedgement 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 />