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PAS CO COUNTY, FLORIDA <br /> Permit No. <br /> // Date Permitted' <br /> Builder Name/OwnsrName Y»��. Control#' O <br /> County Parcel No. 2�52 �-/ a//b 4tXX3p 1�7?7� SubDiv: <br /> Address/Location 2q <br /> Classification/Type,of Usti �i <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2r 3ZL <br /> Exempt ❑Yes []:No How Determined <br /> Impact Fee Amount $. 31 32 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account - 56) Single-Family Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 193). .Collection Fee <br /> Exempt 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 $ .. 2"c3'� <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 C]No How Determined Total Amount <br /> RESOURCE-FEE' ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE,OF.00CUPANCY WILL BE tSSUED.OR FINAL INSPECTION <br /> PERFORMED UNTIL>TfiETOTAL,AMOUNTB uSTED HAVE <br /> ' � BEEN:.PAI!).AND <br /> RECEIPTED FOR BY A CENTRAL:PERMITTING OFFICE.OFPASCO COUNTY <br /> Acknowledgement below does not Imply.accaptanca.of cancurtence,but sirnpty receipt of a coo of, form,ptactng <br /> the building perm!!owner on nodca of.thm assessment and the condittoris:of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />