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PASCO COUNTY, FLORIDA_ <br /> Permit No. ' 1"! <br /> Date Permitted �?✓ <br /> Builder Name/Owner Name G— Control W <br /> CountyParcel No. � L f <br /> ,� ' � Z �. .�2.���-�Y�U� SubDiv: <br /> Address/Location ' %? <br /> Ctassificat onrrype of usq t` <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: -, <br /> Exempt 1(es No How Determined <br /> impact Fee Amount $. Zone No. TAZ: <br /> SCHOOL IMPACT FEE' <br /> Account (056) Single-Family Detached House Amount $ A—`-`� <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 128) Collection Fee <br /> 1 Exempt []Yes No How Determined <br /> I <br /> !. PARKS AND RECREATION FEE- <br /> Land Account Land Credit Land Total <br /> F{. , <br /> F <br /> i Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ 0` <br /> N. Exempt Yes ❑'No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt n Yes n No How Determined Total Amount -- <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE OF OCCUPANCYWXI.BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN;PAID AND. <br /> RECEIPT.ED 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,ptactng <br /> the bullding.parmlt owner on notice of this assessment and the condlUons of payment for some, <br /> C <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />