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I <br /> PASCO COUNTY, FLORIDA <br /> ftmIt No. u qOS <br /> Date Peonitted lr _ <br /> s ; Builder Name/Owner Name <br /> ,/�J`may �TVYnP� Control#' j' <br /> County Pacel Na.�'C�F�/-0 �D"��049���6 SubDly: 1� lIP/t h�Y <br /> AddresslLocation z76 +- <br /> CtassificationlType of Usq St YI'►r <br /> j <br /> TRANSPORTATION IMPACT FEE " Rate: Sq.Ft Unit�35� <br /> Exempt ❑Yes ❑No How DeterminedDD <br /> t <br /> i , <br /> Impact Fee Amount z r Zone No. TAZ: <br /> p SCHOOL IMPACT FEE <br /> &' Account (058) Single-Femity Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 6123) Collection Fee. <br /> Exempt Yes ❑No How Determined r <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreallon Account Recreation Credit •Recreation/Tootal / i <br /> Zone TOTAL AMOUNT $ 761'&0 <br /> j <br /> Exempt ❑Yes ❑No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total j <br /> Faclllly.Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑No How Determined Total Amount I <br /> RESOURCE FEE ERU <br /> TOTALAMOUNT <br /> Prepared By Chacmd By <br /> NO CERTIFICATE OF OCCUPANCY VOLL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE, <br /> .BEEN PAID AND <br /> RECEtPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> Acknowledgement below doea not Imply acceptance of concurrence,but simply receipt of a copy of two form,placing <br /> the bWding permitowner on notice of Oft assessmant and the con0ons of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br /> A' <br />