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• a " 1111.2. i� PASCO COUNTY, FLORIDA <br /> Permit No. 9556 <br /> ler) Date Permitted <br /> Builder Name /Owner Name ��t' � Control # <br /> County Parcel No. D — 7D SubDiv: <br /> Address / Location 7 78 i n k ( / �f d 57 <br /> Classification/Type of Use / ��n <br /> 6)11 <br /> TRANSPORTATION IMPACT FEE , Rate: /bf '5 Sq Ft Unit: // 53 <br /> Exempt Yes No How Determined <br /> Impact Fee Amount $ 3, 41 t3O . Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single - Family Detached House Amount $ // 757• ClO <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 1123) Collection Fee <br /> Exempt _ Yes [] 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 $ 7 ( <br /> Exempt E Yes 0 No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt 0 Yes 0 No How Determined Total Amount 0/A <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked <br /> 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 <br /> RECEIVED BY <br /> RECEIPT NO. DATE BY <br />