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t, i <br /> PASCO COUNTY, FLORIDA <br /> Permlt No. <br /> Date Permitted :Z <br /> Builder Name/Owner Name Control#' <br /> County Parcel No. 60— 07 `M-012-b SubDiv: <br /> Address/Location s3 <br /> ClassificationCrype of Use t,71/1 <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2? <br /> Exempt ❑lfes [] No How Determined <br /> Impact Fee Amount $.gl Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ <br /> (057) Mobile Horne <br /> I (058) Other Residential <br /> 123) Collection Fee <br /> Exempt [1 Yes Q 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 <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 /> 13EEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> Achnowiedgemant below does not Imply acceptance of concurrence,but simply receipt oft copy of this form,placing <br /> the building permit owner on notice of this assessment and the conditions of payment for some. <br /> DATE RECEIVED BY <br /> RECEIPT NO, DATE BY <br />