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PASCO COUNTY, FLORIDA <br /> Permit No. ozz <br /> Date Permittetl <br /> Builder Name/Owner Name Au 1A !i/mej Control#' <br /> County Parcel No, ' 0 Z( b 12,0 196W d D 1119 SubDiv: AFea <br /> C' Address/Location <br /> f ClassificationlType of UsQ 2 <br /> TRANSPORTATION IMPACT FEE . Rate: Sq.Ft Unit: -310170 <br /> Exempt Yes Q-No How Determined <br /> Impact Fee Amount Zone No. TAZ: <br /> SCHOOL IMPACT:FEE <br /> Account (056)I Single=Family Detached House Amount $ , � <br /> (057) Mobile Home <br /> (058). Other Residential <br /> [�] <br /> 923) Collection Fee <br /> Exempt Yes- .C1 No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit -Recreation Total <br /> Zone TOTAL AMOUNT $, •70,56 <br /> Exempt ❑Yes 0 No How Determined <br /> • , LIBRARY FEE <br /> Land A&eunf Land Credit Land Total <br /> Facility Account Facility Credit Facility Total �f� <br /> Exempt ❑Yes ❑ No How Determined Total Amoun,2:2 <br /> .RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> i <br /> Prepared By Checked By <br /> b CERTIFJC I TE OF OCCUPANCY WILL BE.ISSUED OR FINAL.INSPECTION <br /> PERFORMED UNTIL THE TO'PAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE,OF PASCO COUNTY <br /> Acknowledgement below dose not Impty,acceptance of concurrence,but sAmpty,receipt of a copy of.thla form,placing . <br /> the bullding permit owneron noticaof this assessment and the conditions of paymentfor same: <br /> DATE RECEIVED BY <br /> RECEIPT NO: DATE BY <br />