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' PASCO COUNTY, FLORIDA <br /> Permit No. (.3 5-0 <br /> Date Permitted <br /> =' <br /> Builder Name/Owner Name.: 1rtGtniail F1 Control#' <br /> County Parcel No. 0 2,(v 2 f b 2,Gb D DOD D Q 7 n 1) SubDly: i <br /> Address/Locatlon 3 C5+'1,2. <br /> ClassificationRype of Use cS' <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt Q Yes ❑ No,/�How Determined <br /> Impact Fee Amount $. G!Cl Zone No. TAZ: <br /> SCHOOL IMPACT FEE Q <br /> Account (056) Single-Family Detached House Amount $ � <br /> (057) Mobl(e Home <br /> (058) Other.Residentlal <br /> 23) Collection Fee <br /> i Exempt d Yes Q No How Determined <br /> 1, <br /> i. 'PARKS AND RECREATION FEE, <br /> - Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ 7 1•LZ <br /> D D <br /> Exempt Yes No How Determined p <br /> .LIBRARY FEE <br /> 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 t Checked By <br /> NO CERTIFICATE-OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED,UNTIL THE-TOTAL.AMOUNTS LISTED HAVE <br /> BEEN:PAID AND <br /> RECEIPTED FOR BY A CENTRAL"PERMITTING OFFICE.OF PASCO COUNTY <br /> Acknowledgement below,does not imply acceptance of concurrence,b'ut 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 some. <br /> DATE RECEIVED BY _ <br /> RECEIPT NO. DATE BY <br />