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F___. <br /> t <br /> PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted <br /> 1Builder Name/Owner Name &ng_ Control#' " <br /> County Parcel No. 2//ill a 60& � Q� SubDiv: <br /> Address/Location vWzm /-4 / p1 r— <br /> Classiflcation/rype of Uss c1 <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt []Yes [] No How Determined <br /> Impsct Fee Amount � ,' 3� Zone No. TAZ: <br /> SCHOOL IMPACT.FEE <br /> Account (056) Single-Family Detached House Amount $ . <br /> (057) Mobile Home <br /> i (058) Other Residential <br /> 123) 'Collection Fee <br /> ` Exempt [�]Yes._Q No How Determined <br /> PARKS,AND RECREATION FEE- <br /> Land Account Land Credit LandTotai <br /> Recreation Account Recreation Credit Recreation Total�{ <br /> Zone TOTAL AMOUNT <br /> Exempt ❑Yes ❑ No How Determined* <br /> LIBRARY FEE - <br /> Land Accounf Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑ No How Determined Total Amount <br /> RESOURCE PEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Chocked By <br /> NO CERTIFICATE-00 OCCUPANCY WILL BE ISSUED.OR_FINAL]NSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNT LISTED HAVE <br /> BEEN PAiD:AND <br /> RECEIPTED FOR BY A CENTRAL'PERMITTING OFFICE.OF PASCO COUNTY <br /> Aclufawledgement below does not Imply acceptance of commence,but simply rscelpt.of•a copy►of this form,placing <br /> the buildtng permit owner on notice of this assessment and tha conditions of payment for'same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />