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PASCO COUNTY, FLORIDA <br /> Permit No. � <br /> Date Permitted T"�a.CZP7. <br /> Builder Name/Owner Name t K Control#' * _ <br /> County Parcel No. 37— 2-5 24 6(00 b t8& 0 c3 tD SubDiv: c5t <br /> 4 <br /> Address/Locaflon <br /> ClassiflcaflonRype of Usk ��i'`GtT.44,1�1 <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: Z1-36-2 - <br /> Exempt ❑Yes [].No How Determined <br /> Impact Fee Amount . _3 1 37i` Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Famlly Detached House Amount $ —i (, 211 <br /> (057) Mobile Home <br /> (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 <br /> y <br /> Exempt ❑Yes ® No How Determined 12 <br /> LIBRARY FEE <br /> Land Adbount Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑No How Determined Total Amount - Cl <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 WtTOTAL AMOUNT-$LISTED HAVE <br /> SEEkPAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrence,butalmply,recelpt of-a copy of this form;placing <br /> the building permit owner on notice of ihla assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />