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PASCO COUNTY, FLORIDA <br /> t _ _ Permit No. <br /> Date Permitted 7-11 ?.a <br /> Builder Name/Owner Name Z I Control# <br /> } County Parcel No.( 2�, 2-1- D C4'b- Q( ZD-OOSD SubDiv: 7&6✓` _ <br /> i' 8 0r-; AddresstLocatlon <br /> ! �� <br /> Classification/Type of UsQ �f ' -, G G1 <br /> TRANSPORTATION IMPACT FEE Rate: SQ.Ft Unit: 2, 86 <br /> Exempt ❑lies [Q No How Determined <br /> Impact Fee Amount $_ ��5.� Zone No. TAZ: <br /> t <br /> ' SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ 1!� <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt []Yes 0 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 /> 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 C}R FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOQNTS LISTED HAVE <br /> BEEN PAID.AND <br /> RECEIPTED FOR 13Y A CENTRAL PERMITTING OFFICROF PASCO COUNTY <br /> Acknowledgement below does not imply acceptance of concurrence,but simply receipt of a copy of this form,placing the bullding permit owner on notice of this assessment and the condltlons of payment tot same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />