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PASCO COUNTY, FLORIDA <br /> Permit No. d , <br /> ' - Date Permitted <br /> Builder Name/Owner Name Control# <br /> County Parcei No. SubDiv: �- <br /> p <br /> Address/Location P�xl /�Gy� 4 c�r <br /> Classificationrrype of Use ElXa� /y?/;� <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit; <br /> Exempt ❑'Yes ❑ No How Determined <br /> Impact Fee Amount $.3l Zone No. TAZ- <br /> f _ <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ <br /> (057) Mobile Home <br /> j (058) Other Residential <br /> 123) Collection Fee <br /> Exempt [�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 <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 />