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PASCO COUNTY, FLORIDA <br /> ` Percent No. 2-33 <br /> Date Pepnitt00 <br /> l ' Builder Name/Owner Name t Lt Control W <br /> County Paroel No.( I—2-Z — 00-Dobw-6570 SubDIV: d <br /> Address/Locatlon b'G 7 d as 1 <br /> 1 ; <br /> Classlflcat onfrype of Us@ �� �. ; <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 71363 <br /> i <br /> Exempt []Yes ❑No How Determined . <br /> Impact Fee Amount Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (089) Single-Family Detached House Amount S b <br /> f (057) Mobile.Home <br /> (050) Other 23) CoUedlResidential <br /> n F uct Fee <br /> Exempt d Yes ❑No How Determined <br /> PARKS D RECREATION•FEE f <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit :Recreation Total <br /> !6l <br /> Zone TOTAL AMOUNT — ta'`516 <br /> • I <br /> Exempt _ ❑Yes ❑No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> FacHity.Acedunt Fad*Credit Facility Total <br /> Exempt ❑Yes ❑No How Detemilned Total Amoun I <br /> RESOURCEFEE , ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE OF OCCUPANCY.N1.1.11E ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTILTHE TOTAL AMOQNTS LISTED HAVE <br /> BEEN PAID AND.' <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICt30F PASCO COUNTY <br /> AcWwwlwf9emontboWw d0oertotimply accoptanee ofuncurren0e,butmmpty roeelptofa wPY Orfhb icon,Dleclnp <br /> lh®WMIN pamtit owner on nafte of thb useum m end Um conditions of payment for tame. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />