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4 <br /> 'i PASCO COUNTY, FLORIDA <br /> ' Permit No. Vol <br /> . Date Permitted 7 - ^A� <br /> -Buiider Name/Owner Name Tef% Control#• <br /> County Parcel No. 2 <br /> s tlon �= <br /> Addre s/Coca <br /> ClassificationlType of Use c r <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: � <br /> Exempt ❑'Yes ❑ No How Determined <br /> Impact Fee Amount $.3! 3�,L8 Zone No. TAZ: <br /> t( <br /> ( SCHOOL IMPACT FEE <br /> ii Account (056) Single.Family Detached House Amount $ 2A <br /> (057) Mobile Home <br /> (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 $ 7t 1• <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 ByQ-16fjt� Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AM04NTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE-OF PASCO COUNTY <br /> Acknowledgement below does nok.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 />