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t-ASCO COUNTY, FLORIDA <br /> _ Parmit No. <br /> Date Permitted -2� <br /> ^BuNder Name/Owner Name;��i� Z Control#' <br /> County Parcel No. 25 ZI 6,o <br /> ©j SlD d 00 1n SubDiv: <br /> ;p Address/Location �( �S�P2r j6 4wi g (0), <br /> t <br /> Classlficatlon/rype of Usq Pl , <br /> {I Y <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $. 31 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (066) Single-Family Detached House Amount $ �� �_ZZ6 2 <br /> (057) Mobile Home <br /> (058) Other Residential <br /> r 123) Collection Fee <br /> Exempt Yes No How Determined <br /> I. PARKS AND RECREATION FEE- <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> ! Zone TOTAL AMOUNT $ �� ! <br /> Exempt ❑Yes ❑No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> i <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 THE TOTAL AMOUNTS LISTED HAVE <br /> BRIX.PAID!AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE-OF PASCO COUNTY <br /> Acknowledgement below does not imply acceptance of conauroncej but simply recelpi of•a copy of this form,placing <br /> the building permit owrisr•on notice of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />