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f <br /> r PA CO COUNTY, FLORIDA <br /> PBt;nit No. <br /> Date Peimltted _1=r„7b <br /> ( Bulkier Name/Owner Name Control#' <br /> County Parcel No. SubDly: <br /> AddresslLocawn �J /`emu A'Ohl �nQ_, <br /> Ito <br /> Classification/Typa of Us# i <br /> TRANSPORTATION IMP FEE Rate: Sq.Ft Unit 3 3SR <br /> Exempt []Yes ❑N20 How Determined <br /> Impact Fee Amount S. Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (0561 Single- amlly Detached House Amount $ ��g <br /> (087) Mobile ome <br /> (058) Other Identlal <br /> 123) Collect! n Fee <br /> Exempt Yes ❑N How Determined <br /> PARKS AND RECREATION FEE i <br /> Land Account _Land Credit Land Total <br /> t <br /> Recreation Account Recreation Credit -Recreation Total <br /> Zone TOTAL AMOUNT $ <br /> ' I <br /> Exempt ❑Yes ❑Np How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> FacUlty.Acodunt Facility Credit Facility Total <br /> Exempt ❑Yes <br /> ❑ 0 How Determined Total Amount I <br /> RESOURCEFEE ERU <br /> TOTALAMOUNT <br /> I <br /> Prepared By 1 Checked By <br /> NO CERTIFICAT OF OCCUPANCY WILL 9E ISSUED,OR FINAL INSPECTION <br /> PERFO ED UNTiLTHE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FO BY A CENTRAL PERMITTING OFFICSOF PASCO COUNTY <br /> Admowledgement allow do not Imply acceptance of COMMON%Cut AWO recelptOf&cc0pf this roam,pacing <br /> the builft pemtk nor on notice of thto assessment end the eondklons of payment for dame. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />