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PASCO COUNTY, FLORIDA <br /> Permit No. • <br /> Date Permitted — <br /> Builder Name /Owner Name ,..e - !1 4 Control # ' <br /> County Parcel No � ' 2i' b2 "t -1 ('USubDiv: r' k <br /> Address /Loc (OS alp 1 1 1!I'i L( L v " ay 6 <br /> �— f <br /> Classification/Type of Use 1 01 n e q " <br /> • <br /> TRANSPORTATION IMPACT FEE . Rate: t tb I , 1 ,5 S Ft Unit; 1 5 <br /> Exempt 0 Yes ID No How Determined <br /> Impact Fee Amount $ 3 rJ Zone No. TAZ: , <br /> SCHOOL IMPACT FEE C / <br /> Account (056) Single- Family Detached House Amount $ ° �` 6 <br /> (057) Mobile Home . <br /> (058) Other Residential • <br /> 123) Collection Fee <br /> Exempt [1 Yes D No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account 0 Recreation Credit Recreation Total <br /> Zone • • . TOTAL AMOUNT $ 7(a9 -• S , <br /> Exempt f Yes 0 No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account 0 Facility Credit Facility Total <br /> Exempt ❑ Yes 0 No How Determined Total Amount /" <br /> RESOURCE FEE . ERU <br /> TOTAL AMOUNT <br /> Prepared By - / 0 Checked <br /> sy <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 /> • <br /> DATE . RECEIVED BY <br /> RECEIPT NO. DATE BY <br /> • <br />