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I _ <br /> PASCO COUNTY, FLORIDA <br /> - _ Permit No. <br /> Date Permitted L Z- <br /> Builder Name/Owner Name � )'NL Control#' " <br /> County Parcel No. 2W ZZ-Z'/Ll"IA 2246 SubDiv: <br /> AddresstLocadon �7G� <br /> Classificationrrype of US(q) t <br /> TRANSPORTATION IMPACT Rate: Sq.Ft Unit: _ <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $. Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ 411� 2- <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> ! Exempt [�Yes [i No How Determined <br /> i. PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> i Zone TOTAL AMOUNT $ <br /> , <br /> v 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 tiViLL 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 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 />