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w <br /> PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted O <br /> aBuilder Name/Owner Name Ir © Control# <br /> County Parcel No. &7 f 24 L/ SubDiv: )s 4? <br /> Address/Location 'TAOX! . /te' P4 <br /> Classiflcatlon/Type of Usq '?Ib4 <br /> / <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑Yes [] No How Determined <br /> Impact Fee Amount $. 51 Zone No. TAZ: <br /> k <br /> SCHOOL IMPACT FEE ' <br /> Account (056) Single-Family Detached House Amount $ - e 46 <br /> (057) Mabile Home <br /> i (058) Other Residential <br /> 123) Collection Fee <br /> Exempt 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 $ ' <br /> Exempt ❑Yes n No How.Determined. <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facillty,Credit Facility Total <br /> Exempt ❑Yes 'O No How Determined Total AmouWl ._ <br /> RESOURCE.FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By r: - Checked By <br /> b CERTIFICATE OF OCCUPANCY WILL REISSUED OR FINALANSPECTION <br /> PERFORMED[lNTiL THi TOTAL AMt,QUNt3 t tSTED HAVE <br /> SEEN PAID AND :..- <br /> RECEIPTED FOR BY A CENTRAL PBRMITI'IN13i OFFICE.OF PASCO COUNTY <br /> Acknowledgement below does not imply accepts 6,qf concurrence,but simply receipt of a,copy of thla form,placing <br /> the building gennitowaes on notice of.thie assessment and ho renditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />