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PAS CO COUNTY, FLORIDA <br /> Anpit No. -2142 <br /> i Date Peunlited <br /> Builder NamelOwner Name Control N' <br /> County Parcel No. �tf•rL — ��0"G "��.SubDly: <br /> Addrese/Location C <br /> ClaseltlationlType of Usq 51 '` I <br /> f TRANSPORTATION IMP IMPACI FEE Rate: Sq.Ft UniC6 <br /> I Exempt ❑Yes ❑No How Determined <br /> i 2 <br /> ' Impact Fee Amount 3 3 '� Zone No. TAZ: <br /> r � <br /> SCHOOLIMPACTFEE i <br /> i Account (058) Single-F milt'Detached House Amount S 7�J� <br /> ` (087) Mobile H 2me, <br /> i (068) Other FW stdential <br /> 23) Colledto i Fee <br /> Exempt 6 Yes ❑No How Determined <br /> i PARKS AND REcREATiow FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit -Recreation Total <br /> Zone TOTAL AMOUNT s <br /> • I <br /> Exempt ❑Yes ❑No How Detemmned <br /> LIBRARY;FEE <br /> Land Account Land Credit Land Total i <br /> Faciilty.Ac odunt Facility Credit Facility Total <br /> Exempt ❑Yes ❑No How Determined Total Amfiu <br /> RESOURCE FEE , ERU ` <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE F Q.000PANCY WILL RE'183UED.OR FINAL INSPECTION <br /> PERM ED�UNTIL THE TOTAL Alm04NT8 LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR DY A CENTRAL PERMITTING OFFICEOF PASCO.000NTY <br /> AoknothotlpemowleetptN dean of Nmpty aaeplen�of cancurrenoo;tad eunpmy ro6etptota copy of lhle fomm,pleoina <br /> the huUd4�p pamk noron wedc�o}thta weer w m and ft cmdl bm of paymentfor demo. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />