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i P'ASCO COUNTY, FLORIDA <br /> Permit No. �90 ? <br /> Date Permitted _ _7 2; <br /> -Builder Name/Owner Name Control#' <br /> County Parcel No. 32 x2--$24-0100-0/180P-j0>_.C) SubDIv: cS) <br /> Address/Location <br /> ClassiffcationiType of Use <br /> v.. <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: WX <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $. Zone No. TAZ: <br /> k <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ <br /> i (057) Mobile home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt n 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 q- S.6 <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 Amoufii:�: ^� <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE OF OCCUPANCY,WILL BE ISSUER 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 a copy of this form,placing <br /> 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 />