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PASCO COUNTY, FLORIDA <br /> a <br /> Permit No. <br /> Date Permittedsj <br /> Builder Name/Owner Name tCJ 17��� Control#' <br /> County Parcei No. ,95 Z5--24- D l`0-b(04V L 0(3a SubDiv: r&4 eX <br /> Address/Location '7 7& /i t? <br /> �lL <br /> h <br /> Classification/Type of Use v �i fI" <br /> y <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: U <br /> Exempt [1 Yes No How Determined <br /> Impact Fee Amount $.��(�3A,06 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) dingle-Family Detached House Amount $ = s Z� <br /> € (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> 1 Exempt [�]Yes Q 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 Totai 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'PERMITTINQ OFFICE-OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply receipt da copy of this form,piecing <br /> the building permit ownsr.on notice of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />