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I <br /> . i <br /> PASCO COUNTY, FLORIDA <br /> Datedt No. - <br /> .`. •` � Date Permitted L'o <br /> t ; Builder Nam®/Owner Name �'' re1 Control#' <br /> 1 County Parcel No. "z pp'Z�JJ-//012-v-60 iop4 SubDly: ` <br /> AddresslLocadon �a��� tSr�L{�Fr7rG� Wni1t Ls <br /> Classltication ype of UsQ ��e fi.✓�+(�� _ i <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit Z <br /> Exempt ❑Yes ❑No How Determined ' <br /> ' Impact Fee Amount S Zone No. TAZ <br /> SCHOOLIMPACT FEE 8,�Ir, z D ' <br /> Account (056) Single-Family Detached House Amount $ <br /> I (057) Mobile Home <br /> (058) Other Residential <br /> 128) Collection Fee <br /> Exempt Yes ❑No How Datemdned <br /> I <br /> PARKS AND RECREATION FEE <br /> Lend Account Land Credit Land Total <br /> r Recreation Account Recreation Credit -Recreation Total <br /> Zone TOTALAMOUNT <br /> • I <br /> Exempt ❑Yes ❑No How Determined <br /> LIBRARY FEE <br /> Lend Account Land Credit Land Total j <br /> Facillty.Acoount Fad*Credit Facility Total <br /> Exempt ❑Yes [:]No How Determined Total Amou t z� I <br /> RESOURCE FEE , ERU <br /> TOTAL AMOUNT <br /> I <br /> Prepared By 0.L Checked By <br /> ! NO CERTIFICATE OF OCCUPANCY WILL SE ISSUED.OR FINAL INSPECTION <br /> j PERFORMED uNTILTHE TOTAL AmbuNT8 LISTED HAVE <br /> BEEN'PAID.AND ' <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICROF PASCO COUNTY <br /> Aoknowleyenuud below dose not 6npty ae�ptenee of eonwrronee,but eemply realptoF®Wpjr o(thte form,plScln� <br /> the bultdYip petmR owner on notla o1 titre eeeeuinenr erb the eondldone of poymm�t for eeme. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br /> • A, <br />