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E � <br /> z PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted F <br /> 'BuHder Name/Owner Name Control W. <br /> County Parcel No. 62- 74 Z t l 3,(� SubDIv: jq <br /> Address/Location 0 7 f I 605060 <br /> Classification/Type of Usq <br /> I° TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: ��.._!_� <br /> Exempt L]Yes ❑ No How Determined <br /> Impact Fee Amount $. 7 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Famlly Detached House Amount $ <br /> (057) Mobile Nome <br /> (058) Other Residential <br /> 23) ' Collection Fee <br /> Exempt 6 Yes No How Determined <br /> z <br /> t. 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 ERLI <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 receipt of 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 />