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FASCO COUNTY, FLORIDA, <br /> Permit No. <br /> Date Permitted 2 ' <br /> yBuilder Name/Owner Name E� 7+" �—� - Control#' <br /> County Parcel No.() 2_�2-1 b ) SubDIv: /r� dc'/z � <br /> Address/Locatlon h/!. <br /> cli- <br /> ClassiflcationlType of UsgI �C(i <br /> TRANSPORTATION IMPACT FEE . Rate: Sq.Ft Unit: i ' <br /> Exempt ❑Yes Q 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 /> ` 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 /> Zone _ TOTAL AMOUNT $ '• � <br /> Exempt ❑Yes ❑No How DetePmined <br /> LIBRARY FEE �- <br /> Land Accounf Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt (]Yes ❑ No How Determined Total Amount <br /> RESOURCE FEE ERU TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOl1NTS 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 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 />