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i <br /> PAS CO COUNTY, FLORIDA <br /> . ' P�ttNt No. .2Zti$3 <br /> Date PeOnitted _I 2� <br /> f Builder Name/owner Name Control N' _ <br /> i <br /> County Parcel No. - -2-1•0(OCL 0 t&+Q(�7 SubDly: 61 lArOA <br /> Address/Locallon L <br /> ClassiHcallonlType of Uso 51hAA <br /> i' TRANSPORTATION IMPACTFEE Rate: Sq.Ft Unit: Z- <br /> 1 i Exempt ❑Yes ❑No How Determined <br /> Impact Fee Amount 3 Zone No. TA?_: i <br /> SCHOOL IMPACT FEE ' <br /> i. Account (060) Sftle-F unityDetechedHouse Amount S �� L5d5,Z <br /> i (OR) Mobile me <br /> (055) Other R sldential <br /> 123) CollectIc n Fee <br /> } Exempt a Yes ❑No How Determined <br /> ! PARKSANDRECREATIOI FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit •Recreation Total <br /> Zone TOTAL AMOUNT S 7(o <br /> Exempt ❑Yee ❑No How Detemdned <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total i <br /> Facillty.Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑No How Determined .Total AmouaY <br /> RESOURCEFEE , ERU• - <br /> TOTALAMOUNT(((��� <br /> Prepared By Checked By <br /> 07777 <br /> NO CERTIFICATE_ F OCCUPANCY WILL 8E ISSUED OR FINAL INSPECTION <br /> PERFO ED UNTILTHE TOTAL'AMOUNTS LISTED HAVE ' <br /> BEEN PAID,AND.' <br /> RECEIPTED FOR 1Y A CENTRAL PERMUTING OFFICEOF PASCO COUNTY <br /> Aa1aWwl9dgement bakes does at imply aecep{artce or eonawrenoe,Dut olmpty realpt ote eupy of thle form,placing <br /> the building permit o nar an iwtice of th4 seeaeanenf and theidIDons of payment for�eme. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />