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i, PASCO COUNTY, FLORIDA <br /> Permit No. 9e 7 7 <br /> Date Permitted <br /> of <br /> Builder Name /Owner Name _ Control # <br /> County Parcel No. 3 2/- 61 5p_a)d00-,. 6ZubDiv: <br /> Address /Location 37 4 / 5 �� y - 40,4),;s- <br /> ,4 ), S �7 <br /> Classification/Type of Use , <br /> YP Md�i�C �I�r�'t� <br /> TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: <br /> Exempt Yes ❑ No How Determined <br /> Impact Fee Amount $ 3i 673.2- Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single - Family Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> X123) Collection Fee <br /> Exempt Yes 0 No 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 $ 5 7 <br /> Exempt Yes E No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt Yes E No How Determined Total Amount / <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By <br /> 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 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 />