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i <br /> i <br /> PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted �!rZ -Z62 <br /> Builder Name/Owner Name � Control#' <br /> County Parcel No. 32_2,6-2,1 QI Q-r 2 01 SubDiv: r wl - f, <br /> Address/Location6 7 <br /> Classification/Type of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $. ��a. ,�_ Zone No. TAZ: <br /> SCHOOL i (056)FE 9 y , ,r j� <br /> Account (056 Sln le-Famll Detached House Amount $ ( 2-5 <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt ' n 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 $ � <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 /> 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 recelpt 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 />