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' t <br /> PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted <br /> 'BuAder Name/Owner Name /' Control#' <br /> County Parcel No. -`( 4 Zl Wo oo�w z; ?%SubDiv: f 6� <br /> AddresslLocatlon <br /> Classification/Type of Usq ail q' - r'i fr <br /> TRANSPORTATION IMPACT FEE Rate: So.Ft Unit: Z Z <br /> Exempt []Yes ❑No How Determined <br /> Impact Fee Amount .$,'33 _r Zone No. TAZ: <br /> SCHOOL IMPACT FEE ) <br /> Account (056) Single-Family Detached House Amount $ �/i Zvi <br /> (057) Mobile Home <br /> (056) Other Residential <br /> 123) Collection Fee <br /> ! <br /> Exempt [ Yes ❑No How Determined <br /> 1. PARKS AND RECREATION FEE- <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> ` Zone TOTAL AMOUNT $ �D9e <br /> z, Exempt n Yes ❑'No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt n Yes ❑ No How Determined Total Amount <br /> .1 . <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By r Checked By <br /> NO CERTIFICATE OF OCCUPANCY 11*IIILL BE ISSUE#.OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BIsEN:PAID AND. <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE-OF PASCO COUNTY <br /> c Acknowledgement 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 />