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PASCO COUNTY, FLORIDA� <br /> . Permit No. <br /> J _ Date Permitted <br /> .-Builder Name/Owner Name �TOY7 Control# <br /> County Parcel No. 45 4 �...Z j�,: 1} _ZSubDiv. <br /> Address/Location zU� <br /> Classification Type of Usq L15) l <br /> TRANSPORTATION IMPACT FEE . Rate: Sq.Ft Unit: S3 <br /> Exempt ❑Yes (] No How Determined <br /> Impact Fee Amount $. l �` Zone No. TAZ: <br /> SCHOOL IMPACT FEE L� <br /> Account (056) Single-Family Detached House Amount <br /> ° (057) Mobile Home <br /> (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 Recreations Total <br /> Zone _ _ TOTAL AMOUNT $ l �� <br /> Exempt ❑Yes ❑ No How Determined <br /> LIBRARY FEE <br /> Land Accoun# 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 AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY <br /> AckrWedgement below dose not imply acceptanoe of concurrence;but simply receipt of•a copy of this form,placing - <br /> ttt$building permit owner,on notice of this assessment and the commons of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />