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rASC® COUNTY, FLORIDA <br /> Permit No. Z� <br /> Date Permitted <br /> LBuilder Name/Owner Name A a f-4" LLC, Control#' <br /> County Parcel No. 2Ak24-21—b100--DQXQ_UjSo SubDIv: O(ae <br /> t <br /> Address/Location 3 cc �jyi CAP-&,—cl2 <br /> dl � <br /> t <br /> Classiflcatfon/Type of UsQ l <br /> k, " <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2 Dd <br /> Exempt ❑-lies No How Determined <br /> s5 Impact Fee Amount $. �� 6 3�� 'Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family petached House Amount $ :z j C(g <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt [�] Yes n 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(o9�L <br /> Exempt ❑ Yes ❑ No How Determined <br /> t^< <br /> LIBRARY FEE <br /> 'T Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> t` Exempt ❑ Yes ❑ No How Determined Total Amount <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> P„ Prepared By 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 />