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PASCO COUNTY, FLORIDA <br /> Permit No. C <br /> t Date Permitted <br /> Builder Name/Owner Name Control# <br /> County Parcel No. V 140-W76&ffS1> SubDiv: 9o446t-" <br /> Address/Location Y" T <br /> S <br /> ClasslficatioM'ype of Usq <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: , <br /> Exempt ❑Ves Q No How Determined <br /> Impact Fee Amount Zone No. TAZ: <br /> i SCHOOL IMPACT FEE rn <br /> Account (056) Single-Famlly Detached House Amount $ Ff f 2A r <br /> (057) Mobile Home <br /> i (056) 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 /> Zane TOTAL AMOUNT $ ­Zel " <br /> Exempt Q Yes ❑No How Determined <br /> LIBRARY.FEE <br /> Land Account Land Credit Land Total <br /> s Facility Account Facility Credit Facility Total <br /> Exempt Q Yes Q No How Determined Total Amount ' <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE.OF OCCUPANCY.WILL.BE ISSUE.0 OR.FINAL INSPECTION <br /> PERFORMED UNTIL THE70TAL AMOUNTS"LISTED HAVE <br /> BEEN.RAID ANO <br /> RECEIPTED FOR BY A CENTkALPERMITTiN©OFFICE.OF PASCO COUNTY <br /> Acknowledgement below'doea not imply acceptance of conourrance,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 />