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I <br /> r <br /> PASCO COUNTY, FLORIDA <br /> Pilimit No. z<� <br /> Data Peoni tied �„ <br /> j. Builder Name/Owner Name Xf" tyla Control <br /> & 2Y��Y�J�.Q��O- Ol7 r� <br /> County PaCcet No. SubDiv: <br /> Address/Location #0 <br /> Ciassiftcationfrype of Usq <br /> TRANSPORTATION IMPACT FEES Rate: Sq.Ft Unit: 2 SZ <br /> t` Exempt 0 Yes Q No How Determined <br /> Impact Fee Amount f�3°t � Zone No. TAZ: <br /> SCHOOL IMPACT FEE 7 90 <br /> Account (055) Single-Family Detached House Amount $ <br /> # (OR) Mobile Home <br /> (055) Other Residentiat <br /> 123)- Collection Fee <br /> t Exempt [j Yes ❑No !How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit .Recrea@an Total <br /> Zone TOTAL AMOUNT $ <br /> j <br /> Exempt ❑Yes ❑No ; How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facillty.Ac count Facility Credit Facility Total <br /> Exempt ❑Yes ❑No How Determined Total Amount CL`' <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> n.AI <br /> Prepared By Checked By <br /> NO GE TIFICATE 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 /> AcknovAedgemont below does not Imply acceptance of concurrence,but$Imply receipt of a copy of this form,placing <br /> the btdtdkmg permit owner on notice of No assessment and the conditions of payment for Sonia. <br /> DATE RECEIVED BY <br /> RECEIPT NO, DATE BY <br />