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f <br /> PASCO COUNTY, FLORIDA <br /> 04rmit No. Z <br /> y1 Q Control W <br /> Date Peanitte <br /> s Suiider Name/Owner Nam''eII444y,r—4 <br /> t, County Parcel No. 27r �'NI MC)O a SubDiv: <br /> AddresslLocadon B <br /> ClassiflcationfType Of Us@ <br /> TRANSPORTATION IMPACT FEE - Rate: Sq.Ft Unit: Jai 6 � <br /> Exempt (]Yes ❑No How Determined i <br /> i ' <br /> Impact Fee Amount $ ��'�^ �— Zone No. TAZ: <br /> SCHOOLIMPACTFEE <br /> Account (058) single-Family Detached House Amount $Z fS Ou. Z� <br /> (057) Mobile Home <br /> (055) Other Residential <br /> 23) Collection Fee ' <br /> Exempt d Yes ❑No How Determined <br /> PARKS AND RECREATION FEE i <br /> Land Account _Land Credit Land Total <br /> i <br /> Recreation Account Recreation Credit -Recreation Total <br /> Zone TOTAL AMOUNT $ <br /> i <br /> Exempt ❑Yes ❑No Now Determined <br /> LISRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility"Acoount Facility Credit Facility Total <br /> Exempt ❑Yes ❑No How Determined Total AmouniT.7 _ I <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Chocked 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 CE01611'PERMITTIN3 OFFICE OF PASCO COUNTY <br /> Acknowledgement below dose not Imply acceptance of concurrence,but aknpty receipt of a copy of this form,placing <br /> the tWitding permit owner an notice of this assessment and the;conollons of payment for semi. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />