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s <br /> PASCO COUNTY, FLORIDA <br /> Permit No. 51 <br /> Date Permitted <br /> Builder Name/Owner Name f� Z`� Control# <br /> County Parcel No. SubDiv: LS' LG <br /> Address/Location t �'� 4n <br /> ClassiflcationiType of Usg <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: L <br /> Exempt- Q Yes [] No How Determined <br /> Impact Fee Amount ,�, Zone No. TAM <br /> SCHOOL IMPACT FEE � <br /> Account (056) Single=Family Detached House Amount $ �Ax1,?—A_____ <br /> t (057) Mobile Home <br /> 1 (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 $ '-Z4,, l°,6 <br /> 3 <br /> Exempt ❑Yes ❑No How Deteirmined� <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 WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMO!#NTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE-OF PASCO COUNTY <br /> Ackifowiedoement below does not Imply acceptance of concurrence,but simply recelpt of a copy of time form,placing <br /> the building permit owner-on notice of tide assessment and the conditions of payment for some. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />