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PASCO COUNTY, FLORIDA <br /> Permit No. +0 <br /> date Permitted —Z./ <br /> i —Builder Name/Owner Name Control# ' <br /> County Parcel No. 2— Z-(2Zl©It Q 000DI)2-Z a SubDiv: A4ddf-A A1*— <br /> ¢ Address/Location <br /> Classiflcationrrype of Us@ �l i <br /> TRANSPORTATION IMPACT FEE Li Rate: Sq.Ft Unit: Zt72 <br /> r- . <br /> €1 Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount Zone No. TAZ: <br /> I SCHOOL IMPACT FEE <br /> Account (058) Single-Famlly Detached House Amount $ � 7�/� <br /> �h <br /> z (0q7) Moblie Home <br /> a (058) Other Residential <br /> m d <br /> 23) Collection Fee <br /> Exempk Yes ❑No How Determined <br /> i <br /> C. PARKS AND RECREATION FEE, <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit RecreatlonTotai <br /> i <br /> Zone TOTAL AMOUNT <br /> Exempt ❑Yes ❑No How Determined <br /> E LIBRARY FEE <br /> , <br /> Land Account Land Credit Land Total <br /> t • <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑ No How Determined Total AmouMl��' _ <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By t Checked By <br /> NO CERTIFICATE OF OCCUPANCY.WLL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOt)NT9 LISTED HAVE <br /> B0E*PAID AND <br /> ') RECEIPTED FOR SY A CENTRAL PERMITTING OFFICE,OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply receipt ofia copy of this form,placing <br /> the building permit owner on notice of this assessment and the conditions of payment for some. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br /> . ry <br />