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PASCO COUNTY, FLORIDA <br /> krat No. •7—Z 3XI <br /> y` Date Permitted <br /> Builder Name/Owner Name lC e Control#' aKs <br /> _ <br /> t County Parcel No. 0 �ZQ^a�,0�00(� D zy SubDiv: � � <br /> Address/Location (al.-,-6 fz0! <br /> Classlflcat on/Type of Usq <br /> i. TRANSPORTAMON IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑Yes [:]No How Determined ' <br /> Impact Fee Amount Zone No. TAM <br /> SCHOOLIMPACTFEE f e� <br /> �. Account (055) ShVIe-Family Detached House <br /> Amount 3 �� <br /> r (957) Mobile Home <br /> (05B) Other Residential <br /> j: 123) CoUectlon Fee <br /> Exempt Yes ❑No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> r Reaeatlon Account Recreation Credit -Recreation nTotal <br /> Zone TOTAL AMOUNT S 7b 7-�-% <br /> • I <br /> Exempt ❑Yes ❑No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total j <br /> Facllity.Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑No How Determined Total Amount <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> i <br /> Prepared By Chocked By <br /> NO CERTIFICATE OF OCCUPANCY WILL 64ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTILTHE TOTAL,AMOUNTS LISTED HAVE <br /> .BEEN PAID AND ' <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICROF PASCO COUNTY <br /> ACRnotda4yoment 6atow doa trot ry eeaptana of cancurrenec,but®Ynpty re ore wpjr W.Ihts torte,piaelna <br /> the buudlnp pamdt ownebnDr an tntica ol thla ataeau A and the conditlons of payment tar asme. d <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />