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PASCO COUNTY, FLORIDA <br /> _ Permit No. c <br /> Data Permitted Z- Z <br /> Builder Name/Owner Name Control <br /> County Parcel No. 32- Z-5 Z] 0( 6 02W SubDiv: cSl <br /> Address/Locadon 3 2- 1ba) Cr <br /> Classificationrrype of UsQ C.1 t <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑Yes [] No (_ How Determined <br /> Impact Fee Amount $. ��� Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> 4 Account (056) Single-Family Detached House Amount $ <br /> (05.7) Mobile Home —r <br /> (058) Other Residential <br /> d <br /> 23) Collection Fee <br /> Exempt Yes- 0 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 El 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 Amount4D­_�_ <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 AM04NTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY <br /> Acknowledgement below does not imply acceptance of concurrence,but simply recelpt of a copy of this form,placing 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 />