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PASCO COUNTY, FLORIDA <br /> Permit No. ,576 r <br /> Date Permitted J <br /> Builder Name/Owner Name c } t� Control#' . <br /> County Parcel No.Address/Location 3.5&1:5— <br /> Classificatlontrype of Use L;} S� <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2 .Z <br /> Exempt []Yes ❑ No How Determined <br /> Impact Fee Amount s-3, - Zone No. TAZ: <br /> SCHOOL IMPACT'FEE <br /> Account (056) Single.Famlly Detached House Amount $ r ~ ��,< Z8 <br /> (057) Mobile Home <br /> (058) Other.Res(dential <br /> 23) Collection Fee <br /> Exempt d 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 $ rL �' <br /> Exempt ❑Yes ❑ No How Determined Z <br /> LIBRARY FEE <br /> r , Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑ No How Determined Total Amount_`�!� <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By a __ Checked By <br /> NO CERTIFICATE.OF;OCCUPANCY WILL 84 ISSUED.OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL.AMOUNTS LISTED HAVE <br /> BEEN:PAID AN,D <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY <br /> Acknowledgement below does'not Imply acceptance of.concurrence,but simply recelpt-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 />