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PASCO COUNTY, FLORIDA <br /> Permit 14. Z <br /> Date Permitted 1- > <br /> Builder Name/ <br /> wnor Name G t`J�+�r i Control#' <br /> County Parcel o. 3Z 2A 'Zf 6Q4o 6 3600O20 SubDiV: 'St <br /> Address/Local on <br /> Classiflcatto ype of Us j t r L <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑ as ❑ No 2How Determined <br /> Impact Fee Ai4iount $.�J��O mot Zone No. TAZ: <br /> SCHOAccouOL 1M 0 ) 8ingie-Family Detached House Amount <br /> (0 '7 Moblie Home <br /> (0 8) Other Residential <br /> 1 3) Collection Fee <br /> Exempt Yes No How Determined <br /> PARKS AND CREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation A ount Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ <br /> Exempt ❑Yes 0 No How Determined <br /> f LIBRARY FE <br /> Land Account Land Credit Land Total <br /> Facility Accou t Facility Credit Facility Total �{ <br /> Exempt ❑Yes ❑ No How Determined Total Amounif C/ <br /> RESOURCE EE ERU <br /> TOTAL AMO NT <br /> Prepared By Checked By <br /> NO CE TIFICATE OF OCCUPANCY WILL BE ISSUED.-OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEI TED FOR BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY <br /> Acknowledgem t below does not Imply acceptance of concurrence,but simply receipt of a copy of this form,placing <br /> the b ilding permit owner on notice of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY. <br /> RECEIPT NO DATE BY <br />