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c <br /> PASCO COUNTY, FLORIDA <br /> R <br /> F_ <br /> Permit No. <br /> Date Permitted - <br /> Builder Name/Owner Name _le 62�i Control W " <br /> County Parcel No.�c5_,?�21 &�6 Q L3r�d d SubDly: <br /> Address/Locatlon 78 7 Z <br /> Classification/Type,of UsQ Cq <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 4 WA — <br /> Exempt n Yes No How determined <br /> Impact Fee Amount ZAwk-L Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ d,,„ <br /> i <br /> (057) Mobile Home <br /> i (056) Other Residential <br /> 23) Collection Fee <br /> Exempt dYei..ONo 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 $ '17e <br /> Exempt Yes No How Determined 4 <br /> LIBRARY FEE <br /> Land Accounf Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑ No How Determined Total Amou� <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 AMOtINTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY <br /> AcI iowledgement below does not imply acceptance of concurrence,but simply recelpt of a copy of this form,placing <br /> the building permit owner.on notice of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />