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;f PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted ?W <br /> 'Builder Name/Owner Name PA1.14 Control# <br /> County Parcel No. 04 4 2-( 0 LO D=D Z 2---t SubDiv: <br /> Address/Location 2—7 �1 <br /> Classification/Type of Use 5 J <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2,3 t <br /> Exempt ❑Yes C] No How Determined <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 /> 123) Collection Fee <br /> r Exempt �Yes Q No How Determined <br /> t. PARKS AND RECREATION FEE' <br /> € Land Account Land Credit Land Total <br /> (F. <br /> ! Recreation Account Recreation Credit Recreation Total <br /> t <br /> t Zone TOTAL AMOUNT $ (+t? 54 <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 Amount <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By 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,but simply receipt of•a copy of this form,placing <br /> the bullding permit owner.on notice of this assessment and the conditions of payment for some. <br /> DATE RECEIVED BY i <br /> RECEIPT NO. DATE BY <br /> J t <br />