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PASCO COUNTY, FLORIDA <br /> ' 1 <br /> Permit No. 2-3 <br /> w Date Permitted Z - V <br /> Builder Name/Owner Name {4 Control#' <br /> County Parcel No. _3 2-ZS 1-1- Q(D 0 I-(D t -06� %Div: <br /> Address/Location <br /> Classification/Type of Use YL t i <br /> TRANSPORTATION IMPACT FEE Rake: 5q.Ft unit: �z 362— <br /> ( Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $At , 37, , Zone No. TAZ: <br /> i - <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 (3 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�F 5b <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 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 same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />