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PASCO COUNTY, FLORIDA <br /> & Permit No. J 3 . <br /> i Date Permitted- <br /> Builder Name/Owner Name Control# <br /> County Parcel No. c .�j-Z5-21 Vi* t7•UW SubDiv: l' l <br /> Address/Location "otj py;rCk �hA_ <br /> Classification(Cype of Use <br /> T <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: ?,i 301 <br /> Exempt L]Yes ❑ No How Determined <br /> Impact Fee Amount $. >b . 02 Zone No. TAZ: <br /> t SCHOOL IMPACT FEE <br /> ( Account (056) Single-Family Detached House Amount $ , <br /> (057) Mobile Home <br /> (058) Other Residential <br /> !, (123) Collection Fee <br /> Exempt ❑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 $ (J <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 Amou*4.? — <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By • ' ___ Checked By <br /> NO CERTIFICATE OF OCCUPANCY VWLL 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,recelpt of.a copy of.this_form,placing 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 /> ,,ti . <br />