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f' <br /> PASCO COUNTY, FLORIDA <br /> j " U Permit No. (� <br /> - Date Permitted S 2;6-rezz <br /> `� 4 <br /> Builder Name/Owner Name Control# <br /> County Parcel No. W-26-24-•(3 6-o&O-o32j SubDiv: O <br /> ' Address/Location 7 7(2,6 �auGf t'O;n Z r- <br /> wl ClassiticatlontType of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> r. <br /> t. Exempt ❑Yes ❑ No !! How Determined <br /> bc3�• ( Zone No. TAZ: <br /> i Impact Fee Amount 3$. ! <br /> t <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ <br /> i (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> 4 <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 $ <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 !J Checked By <br /> ---&7 _ <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 />