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PASCO COUNTY, FLORIDA <br /> Permit No. <br /> t Date Permitted <br /> 'Builder Name/OwnecName e s k4C— Control#' " <br /> County Parcel No. 7,5 ?.6. -WOO <br /> 1 ./� SubDiv:Address/Location <br /> Classificadon/Type of Us@ <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 24! C , <br /> Exempt ❑1(es. 0 No How Determined <br /> Impact Fee Amount $, 31 3a, Zone No. TAZ: <br /> SCHOOL IMPACT FEE' <br /> Account (056) Singie-Family Rotached House Amount $ Z <br /> (057) Mobile;Home ' <br /> (058) Other-Residential <br /> 123) Collection Fee <br /> Exempt a Yes. Q No How Determined <br /> PARKS'ANDRECREATiON FEE. <br /> Larid,Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone _ TOTAL AMOUNT $.7 k�: Z <br /> Exempt Yes. 0'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 <br /> .RESOURCE,FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By F Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUE.la„OR:FINAL,INSPECTION <br /> PERFORMED UNTILTHETOTAL./tMOt�NTSLISTED HAVE <br /> BEl*N:PAID,;AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE•OF'PASCO COUNTY <br /> Acki(owledgement below does not Imply acceptance of concurrence;but simply.rocelpt of•a�copy of this form;placing <br /> the bulldinp permit owner•on notice of this'asseseinent end the:ooridwon's of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />