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i ! <br /> i <br /> PASCO COUNTY,,FLORIDA <br /> Permit No. Z <br /> ,,,fate Permitted <br /> Builder Name/Owner Name � /�// ► P*4kontrol#' <br /> County Parcel No. ( .�o /�?.�op+ - oU SubDiv: <br /> Address/Location <br /> Classification/Type of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 7,jz 15_3 <br /> Exempt ❑Yes [] No How Determined <br /> Impact Fee Amount $. .� Zone No. TAZ: <br /> SCHOOL'IMPACT FEE <br /> Account (656) Single-Family Detached House Amount $ <br /> (067) Mobile Ho <br /> (058) Other Residential <br /> 123) Collection'Fee <br /> Exempt Yes No How Determined <br /> i <br /> PARKS AND"RECREATION FEE <br /> Land Account Land Credit Land Total <br /> t Recreation Account Recreation Credit Recreatio�n7Total <br /> Zone TOTAL AMOUNTcg96 <br /> ` Exempt Yes ©No How Determined.6 <br /> ft 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 thq conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />