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PASCO COUNTY, FLORIDA <br /> _ Permit No. 20 j C2 <br /> _ Date Permitted 2-Z <br /> Builder Name/Owner Name ken.► a f- Control#' <br /> County Parcel No, 2S 26,Z/_0 f0 Q-,�(p--6600 SubDiv: 14,- <br /> Address/Location 30 Iq 114-OKi (k too ��- <br /> ClassificationiType of Usa j- t� <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: �,3 7 � <br /> Exempt []Yes Q No How Determined <br /> f Impact Fee Amount $.SIP 32• zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (058) Single-Family Detached House Amount $ <br /> (057) Mobile Home <br /> i (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 $ <br /> Exempt ❑ Yes ❑ No How Determined <br /> i LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> t. Exempt Q Yes ❑ No How Determined Total Amoun_T <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> 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 /> k` Acknowledgement below does not Imply acceptance of concurrence,but simply receipt of a copy of this forth,placing <br /> the buildingpermit owner,on notice of this assessment and the conditions of P payment for some. <br /> p. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />