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PASCO COUNTY, FLORIDA <br /> Permit No. T T <br /> ( ) !! Date PermittedZ ��r� <br /> Builder Name/Owner Name �IiL l AWI-e. �ic.�l/ Control#" ' <br /> County Parcel No. Q q 4-24 0(2-o SubDiv: rA�z � <br /> Address/Location Ct 2.- �r*jd <br /> Classification/Type of Use S hQ cep <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: _7�-Z -/ <br /> Exempt ❑Yes 0 No How Determined <br /> Impact Fee Amount !$.. Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ 1,Z <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 723) Collection Fee <br /> Exempt n Yes [l 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 $ cT GJ Z �Z1- <br /> Exempt ❑Yes © No Haw Determined <br /> k ' <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt n Yes' No How Determined Total Amount <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By C, Checked By <br /> NO CERTIFICATE OF OCCUPANCY,WILL BE-ISSUED.OR FINAL INSPECTION <br /> PERFORMED UNTIL TWE 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 notica of this assessment and tfis conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />