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': PASCO COUNTY, FLORIDA <br /> Permit No. ZZ`�� <br /> Date Permitted - <br /> Builder Name/Owner Name � (1CL.►�t '(�U�'1��� Control # <br /> County Parcel No ��uP - 21'��30— �� � ��v SubDiv: • I Q�� �a�� <br /> Address/Location �� � ��/� d`�'► ��� �/ � J <br /> Classification/Type of Use ��1n V � dW1� <br /> TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: �3� <br /> Exempt � Yes [] No How Determined <br /> Impact Fee Amount $���� Zone No. TAZ: <br /> SCHOOL IMPACT FEE 9 r f <br /> Account (056) Single-Family Detached House Amounk $ /��? ��I p <br /> (057) Moblle Home <br /> (058) Other Residential <br /> 123) 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 $�� c j• s� <br /> Exempt � Yes � No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Faciliry Credlt Facility Total <br /> Exempt � Yes �] No How Determined Totai Amo� <br /> RESOURCEFEE ERU <br /> TOTALAMOUNT <br /> Prepared By Checked Sy <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL 7HE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> Acknowledgement 6elow does not imply acceptance of concurrence, but slmply recelpt of a copy of this form, placing <br /> the bullding permit owner on notice of this assessment and tha condillons of payment for same. <br /> QATE RECEIVED BY <br /> RECEIPT NO DATE gy <br />