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PASCO COUNTY, FLORIDA <br /> _ Permit No, fJ U <br /> Date Permltted <br /> Builder Name/Owner Name �� -,- Control 0' <br /> County Parcel No. 7-6 �4 b.�.b��0 SubDiv: LXf'" <br /> Address/Location UI <br /> F <br /> ClassiticatioNType of Use 1 <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2f 2-j(,P <br /> Exempt'. ❑1(es ❑ No How Determined <br /> Impact Fee Amount $. 31 Mz Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ �_1 <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> 1 Exempt Yes Q No How Determined <br /> 1. PARKS AND RECREATION FEE' <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ �lszb <br /> Exempt ❑Yes ❑No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Credit Facility Total <br /> � Facility Account ty ty <br /> k <br /> Exempt ❑Yes ❑ No How Determined i 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 /> sOaRPAID AND <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 We 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 />