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PASCO COUNTY, FLORIDA <br /> Permit No. <br /> 3 <br /> Date Permitted <br /> Builder Name/Owner Name V&O,& 7 ©jft ontrof#' - <br /> County Parcel No. �y� (. - �6. �lSubDiv. 4' LR�- <br /> Address/Location 7 d �1�� u/ <br /> Classiflcationrrype of Use 351&A i t <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: = � — <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $. 31 3a Zone No. TAZ: <br /> SCHOOL,IMPACT FEE / <br /> Account (056) Single-Family Detached House Amount $ <br /> (057) Mobile Home <br /> (056) 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 $ <br /> Exempt ❑Yes [] No How Determined.6 <br /> 1 LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑ No How Determined Total Amount4� <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 OFEICE.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 some. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br /> . i <br />