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F <br /> t j <br /> tr <br /> PASCO COUNTY, FLORIDA <br /> '4rmltNo. � <br /> /,►Date Pimmitted o- <br /> Bullder Name/Owner Name keAntr b4ywL�e-Control#' <br /> County Pafoel No. 4—q2�-2-.1—00- 00-?-820 SubDW: -A M <br /> Address/Location z10 G ,jj,c1 <br /> ClassiflcatlonlType of Usq <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2 1 -ZJ f <br /> Exempt ❑Yes ❑No How Determined <br /> i Impact Fee AmountA1032,CT Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (058) Single-Family Detached House Amount $ <br /> (057) Mobile Home <br /> I (058) Other Residential <br /> 23) Collection Fee <br /> Exempt d Yes ❑No How Determined <br /> E <br /> PARKS AND RECREATION FEE 1 <br /> ! Land Account Land Credit Land Total i <br /> Recreation Account Recreation Credit :Recreation Total-76 <br /> ;I <br /> Zone TOTAL AMOUNT $ <br /> - I <br /> Exempt ❑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 Atnoun <br /> RESOURCEFEE ERU <br /> TOTALAMOUNT <br /> Prepared By �Lq'�L 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 /> RECEIPTBD FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrence,but$Imply recalpt of a copy of this form,placing <br /> the bulding permit owner on notice of ft assessment and the conditions of payment for some. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />