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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Builder Name/Owner Name <br /> <br />County Parcel No. 1- 2 b _ 2/- ()()~d)LOO - 60"0 SubDiv: S \o::r ~dD <br />Address/Location 3~ l \ \ S k~~ Is IJ-A if L+#{, <br />Classificationrrype of Us~ (('<'S';~en {; cJ S:<'J~m: ~ <br />TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: <br />Exempt 0 Yes 0 No How Determined <br />Impact Fee Amount $ (,5 5 ~ . bO Zone No. <br /> <br />TAl: <br /> <br />SCHOOL IMPACT FEE <br />Account (056) Single-Family Detached House <br />(057) Mobile Home <br />(058) Other Residential <br />J.:123) Collection Fee <br />Exempt LJ Yes D No How Determined <br /> <br />Amount $ -0, <6 '1 Cc . Lcr) <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credit <br /> <br />Land Total <br /> <br />Recreation Credit Recreation Total <br /> <br />Recreation Account <br /> <br />TOTAL AMOUNT $ VJ <cq. S~ <br /> <br />Zone <br /> <br />Exempt 0 Yes 0 No <br /> <br />How Determined <br /> <br />LIBRARY FEE <br />Land Account <br /> <br />Land Credit <br /> <br /> <br />Land Total <br /> <br />Facility Account <br /> <br />Facility Total <br /> <br />Exempt 0 Yes 0 No <br /> <br />Total Amount <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />ERU <br /> <br />Prepared By <br /> <br />fj,/lft:r <br /> <br />Checked By <br /> <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 /> <br />Acknowledgement below does not Imply acceptance of concurrence, but simply receipt of a copy of this form, placing <br />the building permit owner on notice of this assessment and th~ conditions of payment for same. <br /> <br />DATE <br /> <br />RECEIVED BY <br /> <br />RECEIPT NO. <br /> <br />DATE <br /> <br />BY <br />