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PASCO COUNTY, FLORIDA <br /> Permit No. •! 2-1 _ <br /> Date Permittedfikiwz <br /> - � <br /> I <br /> Builder Name/Owner Name _` r°. ' Control#' <br /> County Parcel No. ZS<�o�.i ��>'D- r /S � SubDIV: <br /> Address/Location 3o Z-7 <br /> t <br /> Classification/Type of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Uniti <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $. i� t Zone No. TAZ: <br /> SCHOOL IMPACT FEE Account (056) Single-Family petached'House Amount $ <br /> I (057) Mobile Home <br /> (058) 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 $ `7 6f-S <br /> Exempt ❑Yes ❑ No How Determined <br /> LIBRARY FEE <br /> Land'Accounf -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 _ (I/ U. Checked By <br /> z� <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 PERMITTING OFFICE OF PASCO COUNTY <br /> Acknowledgement bslow does not Imply acceptance of concurrence,but simply recelpt of•a copy of this form,placing <br /> the building permit owner.on notice of this assessment and the conditions of payment for some. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />