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L i <br /> IEEr t <br /> PA_ CO COUNTY, FLORIDA <br /> 01IrLNt No. <br /> \� Date 0e61 to . <br /> Op <br /> Builder Name/Owner Name K Control#' _ <br /> County Parcel No. 32- -L1.D DO— 1 0+ JPSUWIV: <br /> Address/Location 7 o A- <br /> ClassUlcallonrrype of UsQ s) t41,r i <br /> �,. TRANSPORTAmoN IMP FEE Rate: Sq.Ft Unit <br /> Exempt ❑Yea ❑No Hors Determined <br /> E.�• Impact Fee Amount 3 63 #0 Zone No. TAZ: j <br /> f <br /> ' SCHOOL IMPACT FEE OS. <br /> Account (0581 Sftle-'F 3mlly Detached House Amount $ 7 <br /> i (057) Mobile Ir ome <br /> (055) Other R i3ldential <br /> I 123) 'Collectic n Fee. ;. <br /> Exempt [�Yes ❑No How Datennlned <br /> ri PARKS AND RECREATIO_I FEE. <br /> Land Account Land Credit Lend Total <br /> ' Recreation Account Recreation Credit :Recreation Total <br /> Zone TOTAL AMOUNT S W9 Sf <br /> • I <br /> Exempt Yes ❑Nc How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total i <br /> Facftlty.Aocount Facility Credit Facility Total <br /> Exempt ❑Yes ❑NiHow Determined Total Amount <br /> RESOURCE FEE , ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE F OCCUPANCY WILL BE ISSUED.OR FINAL INSPECTION <br /> PERFOR AEO UNTILTHE TOTAL AMotINTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR 1Y A CENTRAL PERMITTING OFFICROF PASCO COUNTY <br /> Acknu tedpoment below doe A.hnpry nco ompla of ecumence,but eknpty maelpt ofo ropy O thle form,piadinp <br /> the bwwly po mlt o ner on notlra of M seseaament and tee eondlllona of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />