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1 <br /> PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted .- <br /> ^Builder Name/Owner Name Control# " <br /> F County Parcel No. �Z dX,1)lx- 2 SubDiv: 4 <br /> E <br /> AddresslLocatlon 2 �� 1 <br /> i <br /> s Classification/Type of Us@ <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> i <br /> Exempt ❑Ves ❑ No How Determined <br /> Impact Fee Amount $. _16132•eo Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ ft, <br /> (057) Mobile.Home <br /> (058) 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 $ 7 6,7, <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 d 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 end the condition of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />