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L y <br /> PASCO COUNTY, FLORIDA <br /> Permit No. � <br /> Date Permitted Z-A- Z <br /> ~Builder Name/Owner Name Control#' <br /> County Parcel No. t)f Zfe LED 4006000 ZZ-0 SubDiv: OdkS i q <br /> Address/Location z 7­0 by- <br /> �$ <br /> ClassiflcationfType of Use <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑fifes ❑ 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 /> (056) Other Residential <br /> d <br /> 23) Collection Fee <br /> Exempt Yes ❑No How Determined <br /> PARKS AND RECREATION FEE- <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> i 7 p <br /> Zone TOTAL AMOUNT $ <br /> Exempt ❑Yes ❑ No How Determined <br /> i LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> t: <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 AMOVNTS LISTED HAVE <br /> BEEN,PAID AND <br /> RECEIPTED FOR.BY A CENTRALPERMITTIN©OFFICE-OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply receipt of a copy of this form,placing <br /> n 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 />