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w <br /> PASCO COUNTY, FLORIDA <br /> I( Permit No. <br /> Date Pemtlited - r <br /> Builder Name/Owner Name Control W." <br /> County Parcel No. �` � �'` � SubDiv: Z _P' <br /> Address/Location <br /> Classification/Type of Usp <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑Yes ❑ Not How Determined <br /> Impact Fee Amount $. 3(0 Zone No. TAZ: <br /> i. <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ — !/1 <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 Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ ?� c . <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 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 /> BEEWOND AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE•.OF PASCO COUNTY <br /> Admowledgement below does not imply acceptance of concurrence,but simply recelpt of a copy of this farm,placing the building permit owner on police of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />