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r <br /> r <br /> PASCO COUNTY, FLORIDA <br /> Permit No. 1 <br /> Date Permitted <br /> Builder Name/Owner Name ��l Tr -� Control#' <br /> County Parcel No. ,ZZ l0/26 x6e),vZy"O' SubDiv: b,&�� <br /> . Address/Location1Yyi <br /> �i <br /> t Classilication/Type of Usq � f� <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: tom` <br /> i <br /> Exempt ❑ilea ❑No How Determined <br /> j .. <br /> Impact Fee Amount V Zone No. TAM <br /> SCHOOL IMPACT'FEE�� �j <br /> Account (056) Single-Family Detached House Amount $ G, Z/// Z6 <br /> (057) Mobile Home <br /> (058) Other Residential <br /> F 123) Collection Fee <br /> T Exempt [3 Yes ❑No How Determined <br /> t. PARKS AND RECREATION FEE' <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credlt Recreation Total <br /> ( Zone TOTAL AMOUNT $ 79Gc5— <br /> # Exempt ❑Yes ❑No How Determined <br /> ff LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> I <br /> i 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 TJJS TOTAL AMOUNTS•LISTED HAVE <br /> BRO 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 conditions of payment for flame. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />