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t <br /> PASCO COUNTY, FL OMOA <br /> FerMit No. <br /> Date Permitted - <br /> Builder Name/Owner Name ¢Nn+t/ `2' Control#- <br /> County Parcel No. 2 � -��-Di�bJ(jtil?71^ o SubDW: <br /> Address/Location 3� <br /> ClassiflcatioMType of Use <br /> TRANSPORTATION IMPAC i FEE Rate: Sq.Ft Unit: <br /> Exempt ❑Yes ❑No Homy Determined i <br /> i <br /> �• ; Impact Fee Amount �J ���' Zone No. TAZ• <br /> SCHOOL IMPACT FEE <br /> Account (0561 Single-Family Detached House Amount $ �j fJUc7=<—t7 <br /> (067) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt d Yes 0 No How Determined <br /> PARKS AND RECREATION FEE I <br /> 1 Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit -Recreation Total <br /> Zone TOTAL AMOUNT $ 'I�/'5A u <br /> - I <br /> Exempt ❑Yes ❑No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Faciiity.Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑No How Determined Total Amount, I <br /> RESOURCE FEE ERU <br /> TOTALAMOUNT <br /> Prepared By s 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 /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrence,but aimply recelpt of a copy of thla form,placing <br /> the bullding permit owner on notice of this assessment and the conditions of payment for some. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />