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PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted 8_ 1 <br /> Builder Name/Owner Name Control# <br /> A . <br /> County Parcel No. 04-4-2j—Qj2D--0=-,6 SubDiv: <br /> Address/Location 42 q Y�6 (B <br /> Classification/Type of Use <br /> TRANSPORTATION IMPACT FEE L)" Rate: Sq.R Unit: <br /> Exempt []Yes ❑ No How Determined <br /> Impact Fee Amount Zone No. TAZ- <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ 2A <br /> (057) Mobile Home <br /> (058) Other Residential <br /> (123) Collection Fee <br /> Exempt n Yes ❑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 $ 70156 <br /> Exempt F1 Yes F1 No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit. Facility Total <br /> Exempt n Yes F1 No How Determined Total Amoun <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 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 <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 />