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PASCO COUNTY, FLORIDA <br /> k <br /> E - - <br /> Permit No. <br /> Date Permitted -ZlT DZp <br /> Builder Name/Owner Name &A��� '� Control# <br /> County Parcel No. Z !-2 2 D00019-2=fSubDiv: �� <br /> Address/Locations <br /> Classificationti'ype of Use _ <br /> TRANSPORTATION IMPACT FEE Rate: _ Sq.Ft Unit: 2 Z 76 <br /> r <br /> ' Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $. L(d3 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> i Account (056) Single-Famlly Detached House Amount $ `�---� <br /> { (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <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 $ 76'r 6k <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 Checked By <br /> NO CERTIFICATE,OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOI)NTS LISTED HAVE' <br /> BEEN PAID.AND <br /> RECEIPTED FOR 13Y 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 the building permit owner.on notice of this assessment and the conditions of payment for some. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />