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PASCO COUNTY, FLORIDA <br /> Permit No. � 2,52— <br /> Date Permitted ai;0_ <br /> Builder Name/Owner Name n pl,f�ia t' /Tzrrt�s Control# <br /> County Parcel No. ZC�,, .y(� b t '0=160Z SubDIV: �Pn <br /> Address/Location 3DNbwL <br /> Class`ificationrrype of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 4 37 <br /> Exempt ❑ Yes ❑ No How Determined <br /> Impact Fee Amount $. Zone No. TAZ: <br /> SCHOOL IMPACT FEE / <br /> Account (056) Single-Family Detached House Amount $ �([ <br /> (057) Mobile.Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt d 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 $ <br /> Exempt ❑Yes [] No How Determined <br /> f <br /> s <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 i� T Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE-ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN RAID 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 /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />