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P ASCO COUNTY, FLORIDA <br /> s <br /> i <br /> ._. ._ PermltNo. ,//,7 — <br /> Date Permitted <br /> 1Builder Name/Owner Name '� Control#' ' <br /> County Parcel No. 37-Zv 2t QOY6 lit VbDQ/i(f) SubDly: lea <br /> Address/Location <br /> Classlfication/Type of Usq .. <br /> > TRANSPORTATION IMPACT FEE . Rate: Sq.Ft Unit: <br /> Exempt ❑Yes ❑No How Determined <br /> Impact Fee Amount Zone No. TAZ: <br /> SCHOOL IMPACTS <br /> Account (058) Single-Family petached douse Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> i d23) Collection Fee <br /> Exempt Yes n 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 $ r <br /> C v, 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 /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE OF OCCUPANCY--W. ILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEBN PAJD AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICROF PASCO COUNTY <br /> Acknowledgement below doss not imply acceptance of concuaence,but simply recelpt of a copy of this form,placino <br /> the budding permit owner on notice of this assessment and the conditions of payment for some, <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />