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w � <br /> _. PASCO COUNTY, FLORIDA <br /> 7 <br /> Permit No. <br /> Date Permitted Z 1 4 <br /> Builder Name/Owner Name V1 Control#' <br /> County Parcel No, 00 SubDiv. 91'hgl�w <br /> Address/Location <br /> Classificationrrype of Us@ 67� .Y'G <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: - 71 <br /> Exempt ❑Yes C] No / How Determined <br /> Impact Fee Amount $.31 Zone No. TAZ: <br /> a <br /> SCHOOL IMPACT FEE u j <br /> Account (056) Single-Family pptached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt [�Yes. C1 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 /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By t Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY <br /> AckdoWedgement 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 />