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k <br /> PASCO COUNTY, FLORIDA <br /> f e <br /> Permit No. � V <br /> el <br /> Date Permitted <br /> Builder Name/Owner Name d 9tes Control W r <br /> County Parcel No. 19 SubDiv: <br /> Address/Location aA {A/f l� <br /> Classification/Type of Use cat n, lt?. t <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $. Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ <br /> (057), Mobile Home <br /> i (056) Other Residential <br /> I 123) Collection Fee <br /> iExempt [ Yes ❑No How Determined <br /> t 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 /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> r, <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMS'D UNTlL'THE TOTAL AMOUNTS LISTED HAVE <br /> SEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE,OFPASCO COUNTY <br /> Acknowledgement below does not imply acceptance of concurrence,but simply recelpt ota copy of this form,.placing the!wilding permit owner.on notice of ails assessment and the conditions of payment for same. <br /> } <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />