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y [ <br /> E <br /> PASCO COUNTY, FLORIDA <br /> Permit No. 3 <br /> Date Permitted 3—. <br /> "Builder Name/Owner Name +' Control#' " <br /> County Parcel No. N26 7,1 b1100(&Q.7_!j(2 SubDiv: <br /> Address/Location 1&9d0 <br /> CiassificationIType of Usq 6G' 4 l _ 4vik <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: a 72-- <br /> Exempt ❑Yes n No How Determined <br /> Impact Fee Amount $. l Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ � Z- <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt d Yes ❑No Now Determined <br /> I <br /> . PARKS AND RECREATION FEE- <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> i —�� <br /> Zone TOTAL AMOUNT $ ,7�l�j�,)'F'' <br /> } Exempt ❑Yes ❑No How Determined <br /> i 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 /> { <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT; <br /> Prepared By e — 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 /> Acknowledgement below does not Imply acceptance of concurrence,but simply receipt of-a copy of this form,placing the building permit owner.on notice of this assessment and the condltions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />