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PASCO COUNTY, FLORIDA <br /> _ Permit No. <br /> Date Permitted ..ti_ <br /> Builder Name/Owner Name t6a.—. T5�'1 W49 Control#' <br /> County Parcel No. z z1-, �. O& �73 r.�r,0yt SubDiv: �4 o <br /> Address/Location �(1 on t�y : b&y— i <br /> Classificatlon/Type of Use <br /> TRANSPORTATION IMPACT FEE . Rate: Sq.Ft Unit: 2;f 3 7z- <br /> Exempt ❑Ves ❑ No How Determined <br /> Impact Fee Amount —", h Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (656) Single=Famlly Detached House Amount $ p, <br /> (057) Mobile Home <br /> (056) Other Residential <br /> 23) Collection Fee <br /> Exempt dyes ❑ 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 /> 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 Amount <br /> RESOURCEfEE 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 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 same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />