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w <br /> PASCO COUNTY, FLORIDA, <br /> 4 <br /> ? Permit No. <br /> Date Permitted <br /> Builder Name/Owner Name _Pit/k 9-4te's ControW <br /> County Parcel No. -t `fi 76OZ& SubDly: 6akj <br /> Address/Location !i S <br /> ClasslflcatlonlType of Usq <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: Z <br /> Exempt ❑'Yes E] No How Determined <br /> Impact Fee-Amount $. Zone No. TAM <br /> SCHOOL'IMPACT'F— EE <br /> I Account (056) Single-family Detached House Amount $ � L <br /> i (057) Mobile Home <br /> i (056) 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 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 <br /> z <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Chocked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL.THE TOTAL AMO' t.j S LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE-OF PASCO COUNTY <br /> Ack owtedgement below does not Imply acceptance of concurrence,but simply recelpt of a copy of We form,placing <br /> the building permit owner on notice of this assessment and the conditions of payment for some. <br /> DATE RECEIVED BY ;s <br /> RECEIPT NO. DATE BY <br />