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PASCO COUNTY, FLORIDA <br /> _ Permit No. L <br /> Date Permitted <br /> 'Buiider Name/Owner Name hwr, _ Control#' <br /> County Parcel No,0 2-24 2-C b3o0 60000 07.5 a SubDiv: <br /> Address/Location 01 Q�& <br /> Classiflcatlon/Typd of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: / 7 7 <br /> Exempt ❑Yes ❑No How Determined <br /> impact Fee Amount �. 16 5 / Zone No. TAZ: <br /> 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 /> I <br /> i. 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 i ❑ 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 __a + Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOgNTS 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 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 /> I <br /> I <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />