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P!ASCO COUNTY, FLORIDA <br /> Permlt No. <br /> Date Permitted 0 a9--18 <br /> Builder Name/Owner Name t10r- ACS �-' Control#' ' <br /> County Parcel No. 2`i-2(- -- d t 00-b0 000-A 1 b%ubDiv: Adder. 16 LX-r- <br /> Address/Location ` tp k 1tPf�� [J Z!= <br /> Classification/Type of Use t r1q y�rnc ��+( 2 8 7 <br /> TRANSPORTATION IMPACT FEE , Rate: Sq.FtUnit: Z137(a <br /> Exempt ❑ Yes ❑ No How Determined <br /> Impact Fee Amount $.��(03� . Zone No. TAZ: <br /> SCHOOL IMPACT FEE p, <br /> Account (056) Single-Family Detached House Amount $ (q�� Ze <br /> (057) Mobile 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 _$ 7 y-?-,S <br /> Exempt F] Yes ❑ No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility.Credit Facility Total <br /> Exempt ❑ Yes ❑ No How Determined Total Amount <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 /> 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 tho conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />