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PASCO COUNTY, FLORIDA <br /> Permit No. <br /> r Date Permitted <br /> �Buiider Name/Owner Name CD L" Control#• " <br /> County Parcel No. b �� 1�rrOC!�,J2?t—O SubDiv: <br /> Address/Location 3,56 2-s <br /> Classification/Type of Use �t <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: Z <br /> Exempt ❑Ves ❑ No How determined <br /> Impact Fee Amount $. 3-.�JD- <br /> Zone No. TAZ: <br /> ( SCHOOL IMPACT FEE S� q1 <br /> Account (056) Single-Family Detached House Amount $ — f—=_�i_{ <br /> (057) Mobile Home <br /> (056) 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 $ 72 <br /> Exempt ❑Yes ❑ No How Determined 'A <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 4e,> _ <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 AmOgNTS usTED 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 same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />