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PASCO COUNTY, FLORIDA <br /> Permit , <br /> Date Permitted ZD2D 2.�) <br /> Builder Name/Owner Name -D Control#' . <br /> County Parcel No, f`D(/b 01,30 SubDiv: 1,5�C� <br /> Address/Location ' i Awoel/ ` <br /> Ciassiflcation/Type of Use 5114 J 141 <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit:�&D68 <br /> Exempt ❑Yes []-No How Determined <br /> Impact Fee Amount $.-31�� Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ — � - <br /> (057) Mobile Home <br /> (056) Other Residential <br /> 23) Collection Fee <br /> Exempt 6 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 $Aa <br /> fj.fi <br /> Exempt ❑Yes © No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑ No How Determined Total Amountti,:_F_ <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By . . _ Checked By <br /> NO CERTiFiCATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITT114G 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 pemtlt owner on notica of this assessment acid this condillons of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />