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PASCO COUNTY, FLORIDA <br /> _ Permit No. �r <br /> Date Permitted — <br /> Buiider Name/Owner Name Control#• <br /> County Parcel No.. D 2 2 6 <br /> el 300 W- D 2-7e) 3ubDiv: <br /> - —' � <br /> Address/Location 71 7 s A Cam{ fir <br /> Classification/Type of Usq �� <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: l <br /> Exempt n Yes [i No TH-ow Determined <br /> Impact Fee Amount _$. /�J- Zone No. TAZ: <br /> SGHOOL IMPACT FEE <br /> Account (058) `Single-Family Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt 6 Yes No How Determined <br /> t ' <br /> i. PARKS AND RECREATION FEE- <br /> Land Account Land Credit Land Total . <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ 2,46 <br /> Exempt Yes No How Determined <br /> LIBRARY FEE <br /> Land Accounf 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 AMOY14TS LISTED HAVE <br /> BEEN,PAID AND <br /> RECEIPTED FOR.BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY <br /> Acknowledgement below does not,impiy acceptance of concurrence,but slmply receipt 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 />