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r <br /> • <br /> PASCO COUNTY, FLORMA <br /> F milt No. <br /> Data Permitted — <br /> Builder Name/Owner Name - Control W. e <br /> €° County Parcel No.X- ab`2-t-bl Uo^UA6D-4100 SubDiv: <br /> 13 Y <br /> Address/Location �0 � { <br /> Classification/Type of Usq tS1 Mr <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 21, 66 <br /> Exempt []'Yes ❑No How Determined ! <br /> f <br /> € Impact Fee Amount $ 3q, Zone No. TAZ: 1 <br /> SCHOOL IMPACT FEE �� ! <br /> Account (058) Single-Family Detached House Amount $ i <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee A <br /> Exempt Yes ❑No How Determined <br /> PARKS AND RECREATION FEE <br /> f Land Account Land Credit Land Total <br /> f Recreation Account Recreation Credit Recreattiion Total w <br /> Zone TOTAL AMOUNT $ L 7 6 9" <br /> • i <br /> Exempt ❑Yes ❑No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total j <br /> Facillty.Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑No How Determined Total Amount 1 <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 CENTRAL PERMITTING OFFICEOF PASCO COUNTY <br /> Acknowledgement below does not imply acceptance of concurrence,but almply recelpt of a copil of thla forth,placing <br /> the building penoit owner an notice of this asseaament and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />