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� PASCO COUNTY, FLORIDA <br /> _ Permit No. <br /> p { Date Permitted /2-2- 2a2b <br /> -Builder Name/Owner Name b i� 4T(�1 Control t " <br /> County Parcel No. -?�,� 2 5 ?—r 40 9�O 0(76SubDIV: Iq <br /> AddresslLocation !X <br /> i <br /> ClassificatiorvType of UsQ gMa le- <br /> TRANSPORTATION IMPACT FEE) Rate: Sq.Ft Unit: <br /> Exempt ❑Yes [] No How Determined <br /> r. <br /> Impact Fee Amount k32. A Zone No. TAZ: <br /> z <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ mil/, 2 <br /> (0157) Mobile Home <br /> ( (056) Other Residential <br /> 123), Collection Fee <br /> Exempt [�]Yes. O Nb 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 ❑No How Determined` <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Faculty 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 AMOUNTS 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 receipt of•a copy of We form,placing ~ <br /> the building penult owner-on notice of We assessment and the conditions of payment for some. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />