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+ i <br /> I <br /> P'ASCO COUNTY, FLORIDA <br /> Pbrmit No. <br /> Date Permitted 7Z <br /> Builder Name/Owner Name �"" 1�1 Control# <br /> County Parcel No. ,a 2-2. 0-- a aj3�c0 SubDIv: <br /> Address/Location 7 7 62- jgroa lot ��rt to <br /> It <br /> Classification/Type of Ust} ►-i�`C� r'ti <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 21 777 } <br /> i <br /> Exempt ❑Yes ❑No Horan Determined i <br /> Impact Fee Amount $.el 5R. 6b Zone No. TAZ: } <br /> = SCHOOL IMPACT FEE [� <br /> Account (056) Single-Fam T(liy Detached House Amount $ / ice Z� <br /> (057) Mobile Home <br /> (068) Other Residential <br /> 123) Collection Fee <br /> Exempt Yes p No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit .Recreation Total t <br /> Zone TOTAL AMOUNT $ <br /> Exempt ❑Yes ❑No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total { <br /> Facility.Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑No How Determined Total Amounts_ I <br /> RESOURCE FEE ERU <br /> TOTALAMOUNT <br /> Prepared By Chocked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> .BEEN PAID AND <br /> RECETPTED FOR BY A CENTRAL.'PERMITTING OFFICE OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptancs of concurrence,but simply tacelpt ate copy of this form,placing <br /> the buUdbV peanU owner an notice of fhfs assesament and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br /> h <br />