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PASCO COUNTY, FLORIDA <br /> r <br /> _ Permit No. / 7 <br /> Date Permitted <br /> ^Buiider Name/Owner Name Control#' " <br /> County Parcel No, .32 Z i Z, 1 (/-D6 0/ _,0 ubDty: <br /> Address/Location <br /> CiassiflcationR /ype of UsQ �Ft L, Z4 <br /> TRANSPORTATION IMPACT FEE . Rate: Sq.Ft Unit: Z 3 7z <br /> Exempt* []Yes ❑No How Determined <br /> impact Fee Amount $.'3t 6 Zone No. TAZ: <br /> SCHOOL IMPACT"FEE / <br /> Account (066) Single-Family Detached House Amount $ tf ? 5 <br /> (057) Mobile Home <br /> (056) Other Residential <br /> 123) Collection Fee <br /> t Exempt [�Yes Q No How Determined <br /> t <br /> i. PARKS AND RECREATION FEE- <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ 76 - sM <br /> Exempt 0 Yes ❑'No How Determined. <br /> LIBRARY FEE <br /> Land Accounf Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑No How Determined Total Amount <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Chocked By <br /> NO CERTIFICATE OF OCCUPANCY-WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THIw TOTAL AMOUNTS LISTED HAVE <br /> 80EN-,PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE,OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply recalpt 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 /> I J <br /> 1 J <br />