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PASCO COUNTY,-]FLORIDA � <br /> J <br /> Permit No. 2_ <br /> Date Permitted <br /> -Builder Name/Owner Name (b � ControW " <br /> County Parcel No. 'U 2.t5-2 -jj l -QD�Gi`�6 '{�SubDiv: 2,,QZq�,- <br /> Address/Location'(5 z-i 3 `5,e. b <br /> ClassiticationlType of Use tC <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: Z-, 736 <br /> f <br /> Exempt n Yes ❑ No How Determined <br /> Lz 3 <br /> Impact Fee Amount $.� 2. Q) Zone No. TAZ: <br /> SCHOOL IMPACT FEE / <br /> j Account (056) Single-Family Detached House Amount $ � <br /> (057) Mobile Home <br /> ! (058) Other Residential <br /> i 123) Collection Fee <br /> Exempt Yes Q No How Determined <br /> k_ <br /> PARKS AND RECREATION FEE' <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ -76 f-66 <br /> Exempt ❑Yes ❑ No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> l Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑ No How Determined Total Atnouw _ <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE OF OCC.UPANCY.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 farm,placing the building permit owner-on notice of this assessment andYhe`conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />