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PASCO COUNTY, FLORIDA <br /> " <br /> Permit No. PM5 <br /> - - Date Permitted <br /> Builder Name/Owner Name - Ri a Control W. <br /> County Parcel No. 6 �42_ D 6 -1 SubDiv: <br /> Address/Location zb , <br /> Classification/Type of Use �/ i <br /> ty <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: S <br /> Exempt ❑1'es ❑ No How Determined <br /> i <br /> Impact Fee Amount__ Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt 6 Yes Q No How Determined <br /> 1 <br /> C. PARKS AND RECREATION FEE- <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> s Zone TOTAL AMOUNT $ 70 <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 Amoe4�_�� <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE OF OCCUP'ANCY.1t)tILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEEKPAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply receipt ofa copy of this form,placing <br /> the bullding permit owner.on notice of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br /> ,i <br />