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PASCO COUNTY, FLORIDA <br /> Permit No. 40 l <br /> :k Date Permitted <br /> Builder Name/Owner Name V!J / � Control# <br /> County Parcel No. 7e)_ SubDiv: zP4/ <br /> Address/Location 7 `�3 <br /> Classi icationrrype of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑Wes [:] No How Determined i <br /> Impact Fee Amount $,3i G 32-1.OD zone No. TAZ: <br /> SCHOOL IMPACT FEE ��[[ <br /> Account (056) Single-Family Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> �23) Collection Fee <br /> Exempt Yes ❑No Haw Determined <br /> PARKS AND RECREATION FEE- <br /> Land Account Land Credit Land Total i <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ 7 b S6 <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 Amaurt � <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUE!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 /> i <br />