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PASCO COUNTY, FLORIDA <br /> Permit No. 76—,9 <br /> AA Date Permitted 7� <br /> Builder Name/Owner Name K t'1 Control#" <br /> County Parcel No, &2-2,T-7-J- 6)0�)-6j&�0 WWubDiv: 1� <br /> Address/Location 2 . C49crt <br /> Classification/Type of Ustj 410 4—, r L <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit, .=t,, _ <br /> Exempt Q Yes Q-No How Determined <br /> Impact Fee Amount $, -31 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ Is 2A <br /> (057) Mobile Home <br /> (056) Other Residential <br /> 23) Collection Fee <br /> Exempt 6 Yes- .Q 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 $•�� <br /> G <br /> Exempt Q Yes No How Determined <br /> LIBRARY FEE <br /> Land A&eunf Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes Q No How Determined Total Amount {&/ <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By r 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.acceptenceof concurrence,but simply receipt ofa copy of this form,placing <br /> the bullding permit owner on notice.of this assessment and the c6nditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />