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PASCO COUNTY, FLORIDA <br /> Permit No. <br /> �, [/ Date Permitted <br /> 1...Builder Name/Owner Name A�r 1b7n Control#• <br /> I ' <br /> County Parcel No, SubDiv: 4,Men &)A,— <br /> Address/Location 302..2_ �.tP�� 1 'e _ <br /> f ` <br /> Classificatlon/Type of t.lsi � <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑Ves ❑ No How Determined <br /> impact Fee Amount $;c 6 32,. 6D 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 /> PARKS AND-RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ 7& i csry <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<5!--- <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 TO'PAL AMO14NTS'LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICMOF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply receipt of a copy of this form,placing <br /> the buliding permit owner.on notice of this assessment and the condrdons of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />