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i <br /> E <br /> ' PASCO COUNTY, FLOFOA <br /> "•PGMIt No. Z —7 <br /> Data Paunitted <br /> Builder Name/Owner Name '�' �' rn f? Control#' _ <br /> i <br /> County Patcal No.2W z4-yI- 01I D,00000-150D Subol_y: 91-01delli je� <br /> Address/Locadon 3113 61 <br /> ClassidcadoMype of Usti Sr • r'_ <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: —20 <br /> 3 <br /> i <br /> Exempt ❑Yes ❑No How Determined <br /> I 22 I_ <br /> Impact Fee Amount $ J I pc3z�V v Zone No. TAZ: <br /> SCHOOL-IMPACT FEE <br /> Account (0581.. Single-Family Detached House Amount $ <br /> (057). Mobile Home <br /> (055) Other Residential <br /> 23) Collection Fee <br /> Exempt d Yes ❑No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> 1 Recreation Account Recreation Credit .Recreation Total <br /> Zone TOTAL AMOUNT $ 7 I� <br /> • I <br /> Exempt ❑Yes ❑No How Determined <br /> LIBRARY FEE <br /> Land Account Land.Credli Land Total j <br /> Faciilty.Acccunt Facility Credit Facility Total <br /> Exempt ❑Yes ❑No How Determined Total Amount _ I <br /> RESOURCE-FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By ° Checked 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 /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE•OF PASCO COUNTY <br /> Acknowledgement below dose not imply acceptance of concurrence,but simply receipt of a copy of two form,placing <br /> the bull ft permit owner on notice of We assessment and the conditions of payment for come. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />