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PASCO COUNTY, FLORIDA <br /> ( .._ .. Permit No. <br /> =� <br /> �J Date Permitted sJ:/— <br /> Builder Name/Owner Name tc .. Control# ' <br /> County parcel No. c?,5-23 74 bb � f3//��yU� SubDiv: 6 it <br /> Address/Location 2- S 46. <br /> Classification/Type of Use <br /> z TRANSPORTAT40N IMPACT F Rate: Sq.Ft Unit: _ :? <br /> I <br /> Exempt L]Yes ❑ No How Determined <br /> Impact Fee Amount $ Zone No. TAZ: <br /> SCHOOL IMPACTTFEE p t� <br /> Account (056) Single-Family Detached House Amount $ U' W/ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt [l Yes [1 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 $ f 9, <br /> Exempt ❑Yes ❑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 CJ <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By n Chocked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUEQ OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> > BF59 RAID.AND <br /> ' RECEIPTED FOR BY A CENTRAL-PERWITING OFFICE OF PASCO COUNTY <br /> Acknowledgement below does not imply acceptance of concurrence,but,simpiy receipt ofa copy of thla form,placing <br /> the bullding permit owner on notice of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />