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PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted <br /> Builder Name/Owner Name Control# <br /> County Parcel No. 2-0-25.2,/r b N6-0172-c1_,,Dd SubDiv: <br /> Address/Location N-11 <br /> F <br /> Ctassificatlon/Type of Usp Zr,,tc� <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: Rksc5,9_ <br /> Exempt ❑Yes ❑ No <br /> How Determined <br /> Impact Fee Amount Zone No. TAZ: <br /> r <br /> a <br /> ' SCHOOL IMPACT FEE <br /> f Account (056) Single-Family Detached House Amount $ � <br /> (057) Mobile Home <br /> S (058) Other Residential <br /> 23) Coliection 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 $ I '�� ka <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 AMOt1NTS 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 ofa copy of this form,placing 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 />