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I <br /> 1 PASCO COUNTY, FLORIDA <br /> a. <br /> Permit No. f2 <br /> Date Permitted 2 M. <br /> Builder Name/Owner Name k_tt' cti�L Control#' <br /> County Parcel No. 1OV& SubDiv: <br /> Address/Location &A t 7 <br /> Classification/Type of Used <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt t3'des ❑ No[ How Determined <br /> Impact Fee Amount $. / Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ <br /> 2-6 <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> I Exempt Yes ❑No How Determined <br /> t <br /> 1. PARKS AND RECREATION FEE- <br /> Land Account Land Credit Land Total <br /> E Recreation Account Recreation Credit Recreation Total <br /> f <br /> Zone TOTAL AMOUNT $ 74 F <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 ❑ No How Determined Total Amount _6 ^� <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By G , Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUER OR FINAL INSPECTION <br /> PERFORMED UNTIL THE.TOTAL AMOUNTS LISTED HAVE <br /> SEON;PAID AND. <br /> } RECEIPTED FOR.BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance otconcurrence,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 came, <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />