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PASCO COUNTY, FLORIDA <br /> Permit No.,, <br /> Date'Permitted jam; ._2e <br /> Builder Name/Owner Name LeAA r-- Control#' <br /> County Parcel No. 2.(Q 2/ b((0 00060 1`t&0 SubDiv: 44— <br /> Address/Locatlon � `� 7(v z� <br /> Classification/Type of Uss n vxa e_ =44 <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt []Yes -[] No How Determined <br /> Impact Fee Amount Y t '3 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Retached House Amount $ ,�, <br /> (057) Mobile Home <br /> (056) Other Reslderitlat <br /> 123) Collection Fee' <br /> Exempt C1 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 $ 1 <br /> 4 <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; [] No How Determined Total Amount <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By QQ� Checked By <br /> NO CERTIFICATE COF-OCCUPANCY.WILL BE IS$UEQ:OR EINALANSPECTION <br /> PI�RFORMEd'tiNTiL T'#$TOTAL AMOUNTS LISTED HAVE <br /> BEENPAIOAND <br /> RECEIPTED`,FOR 13Y A CENTRAL:PERMii tNO Ot FICE•,OF PASCO COUNTY <br /> AckmAedgement below does,not Imply acceptance,of congurrence,but simpty,recelpt of-a copy:of.thls form,_placing <br /> the 6uAding permit owner•on notle6 of this assessment and tha conditions of payment for acme. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br /> t <br />