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PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted _g—L7 24-22) <br /> -Builder Name/Owner Name c Control#' <br /> County Parcel No. 2—ZZ t—(X�}_6(Ltb� SubAly: c5' Xnth <br /> Address/Location :71gt <br /> Classlflcation/Type of Usk (y <br /> TRANSPORTATION IMPACT FEE_ Rate: Sq.Ft Unit: <br /> Exempt (l Yes [] No How Determined <br /> . Impact Fee Amount • <( Zone No. TAZ: <br /> 4 <br /> SCHOOL IMPACT FEE Uf� �� <br /> ! Account (056) Sindle-Family Detached House Amount $ o l=/r;=�-" <br /> i (057) Mobiie,Home <br /> (058) Other.Residentiai <br /> 23) Collection Fee <br /> Exempt dyes . Q No How Determined <br /> PARKS AND RECREATION'FEE- <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreatlon Total <br /> Zone TOTAL AMOUNT $ �� <br /> Exempt ❑Yes ❑No How Determined' <br /> LIBRARYPEE <br /> Land Account. Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑ No How Determined Total Amours <br /> RESOURCE FEE ERU <br /> TOTALAMOUNT <br /> Prepared By 1 1' Checked By <br /> NO CERTIFICATE OF'OCCUFIANCY WILL:BE ISSUED OR.FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMdQNTS,LISTED HAVE <br /> BEEN PAID,AND, <br /> RECEIPTED FOR BY A CENTRAL PERMITTINf3 OFFICE.OF PASCO COUNTY <br /> Acknowiedgement below doss.not imply acceptance of ooncurrence,.but simply receipt of•a copy of this form,ptaclog - <br /> the building permit owner-on notlee of thle assessment and 119e'condltl6ns of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br /> • r <br />