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t <br /> f <br /> PASCO COUNTY, FLORIDA` � <br /> Permit No. 7 10 <br /> Date Permitted - ~- <br /> -Builder Name/Owner Name Control# ' <br /> County Parcel No,3�-5-2-J-21-01�o-000-01/6 SubDiv: <br /> Address/Locatlon t i Ott OY` <br /> Classification/Type of Us() r4L <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: l5, - <br /> Exempt ❑Yes Q No How Determined <br /> x <br /> Impact Fee Amount Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> ( Account (056) Single-Family Detached House Amount $ <br /> ' (057) Mobile Home r <br /> I (058) Other Residential <br /> 123) Collection Fee <br /> Exempt [ Yes - Q 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 $ ts4 <br /> Exempt 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 Amouav '— _ <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 dose.not Imply acceptance of concurrence,but simply-racelpt of a copy of thle form,placing the bulkiing,gai nIt owner.on notice of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />