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PA Co COUhi1`Y, FLOR1D*----" <br /> Permit No. <br /> p Date Permitted 27-ZzaZ <br /> Builder Name/Owner Name 1C Control#' " <br /> County Parcel No. 2-,�'2- -24— l`o--• 3Z-4 5A SubDiv: r <br /> Address/Location <br /> Classiflcationtrype of Us@ <br /> TRANSPORTATION IMPACT FEE Rate: SQ.Ft Unit: �3f, _ <br /> Exempt []Yes F1 No How Determined <br /> Impact Fee Amount $. /,3, �,24-�= Zone No. TAZ: <br /> SCHOOL IMPACT FEE ACI <br /> Account (056) Singie•Family Detached House Amount $ t7 <br /> ` (057) Mobile Home <br /> ! (058) Other.Residential <br /> 123) Collection Fee <br /> $ Exempt [�Yes .C1 No How Determined <br /> PARKS AND'RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Rectation Total / <br /> Zone TOTAL AMOUNT $ Z i!z Y. � <br /> Exempt n Yes ❑No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑ Yes [] No How Determined Total Amoun - <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.thls form,placing <br /> 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 />