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V <br /> i <br /> PASCO COUNTY, FLORIDA <br /> _ Permit No. _._— <br /> Date.Permitted'.:�-Z?°�•'�� <br /> Builder Name/Owner Name , Control# <br /> County Parcel No. -L4--G i »b N-0.-0b-1kj-&,-WubDiv: ZeD P_L, <br /> :�:�:=. •Address/Locafion 77 <br /> ClassiflcatlorilType of Use - <br /> TRANSP.QRTATION_JMPAGI'TEE Rate: Sq;Ft.tlnft:::1 <br /> Exempt ❑Yes E] No HOW Determined <br /> i <br /> .impact Fee Amount -$: ,� ?.•(Z Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single.Family Detached House Amount $ r t r <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 i Land Total <br /> Recreation Account Recreation Credit' Recreation Total <br /> Zone TOTAL AMOUNT $ 676 <br /> Exempt ❑Yes ❑ No How Determined ' <br /> LIBRARY FEE <br /> Land Accounf Land Credit Land Total <br /> Facility Account Facility Credit Facility Total _f <br /> Exempt ❑Yes ❑ No How Determined Total Amount-^� <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By In 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 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 />