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r, PASCO COUNTY, FLORIDA <br /> Permit No. c <br /> Date Permitted <br /> 3 <br /> ~Builder Name/Owner Name� rrl' Control#' <br /> County Parcel No. 35�24!)()�b tS�3obf>2.3b subDiv: <br /> 3 Address/Location / <br /> Classification/Type,of Usg - <br /> l` TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: ?_ <br /> Exempt' ❑Yes ❑ No How Determined <br /> Impact Fee Amount ; , Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family petached House Amount $ _ 11r <br /> (057) Mobile Home <br /> (058) Other Residential <br /> f 623) Collection Fee <br /> i Exempt Yes Q No How Determined <br /> t. PARKS AND RECREATION FEE, <br /> l Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> I - <br /> Zone TOTAL AMOUNT $ <br /> Exempt QYes ❑'No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑No How Determined Total Amount s <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 THE TOTAL AtMOIINTS LISTED HAVE <br /> OFliff PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE-OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply recelpx ofa copy of this form,placing <br /> the building permit owneron notice of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />