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PASCO COUNTY, FLORIDA <br /> Permit No. : <br /> Date Permitted <br /> Builder Name/Owner Name Control W . <br /> County Parcel No. Z./if/V oo SW 00/' SuJ�bDiv: <br /> Address/Locaflon _7_ 7q (hit Ah <br /> r <br /> CiasstflcatioNType of Use r <br /> TRANSPORTATION IMPACT FEE Rate: Sci.Ft Unit:,—,;' <br /> Exempt ❑Yes ❑•No How Determined <br /> Impact Fee Amount Zone No. TAM <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ — � <br /> (05?) Mobile Home 1 <br /> (058) Other Residential ' <br /> 23) Collectlon Fee <br /> :Exempt 6 Yes .❑-No How Determined <br /> 'PARKS'AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit - -Recreation Total <br /> Zone TOTAL AMOUNT $7 sz- . <br /> Exempt ❑Yes [3 No How Dete-imined <br /> I <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,WILL BE:ISSUED OR_FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL'MOljNTS:LISTED HAVE <br /> BEEN:PAID AND. . <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply;recelpt,of a copy of this form,placing <br /> the building permit owner on noda of this assessment and'tha'cohdigons of pgmeht for seine. <br /> DATE RECEIVED"BY <br /> RECEIPT NO. DATE BY <br />