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•. . PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted <br /> Builder Name/Owner Name Le� Control W <br /> County Parcel No. D T I G U--G Rkh 0iY M6 d1 D SubDly: <br /> �.r P� <br /> Address/Location 6 2v1o_/ <br /> Lbv <br /> Classiticatlon/Type of Us@ <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 21 6 a <br /> Exempt 1(es Q No How Determined <br /> i <br /> Impact Fee Amount Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ 2-6 <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt [j Yes..C1 No How Determined <br /> PARKS AND RECREATION FEE- <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ <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 E] 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 AM04NTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY <br /> AdWowtedgement balow does not Imply acoeptenoe of concurrence,but simply receipt of•a copy of this form,placing <br /> the building permit owner.on notice of this assessment and tho condfilons of payment for same. / <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />