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t <br /> PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Data Pennitte fo 41,U?a <br /> Builder Name/Owner Name rnL�-•- ` _¢,� Control#• " <br /> County Parcel No. 2 j h ID ()DQ.L16eo _ SubDly: f-- <br /> Address/Location M04 -4� /�/ . <br /> ClassificationlType of Usa S/ Q 1`/1 <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2s WIT— <br /> Exempt lies -Q No How Determined <br /> Impact Fee Amount $. 2i 6 32.0 Zone No. TAZ: <br /> x <br /> SCHOOL,IMPACT FEE <br /> Account (058j Single-Family Detached House Amount $ 41.1, <br /> 2-8 <br /> (057) .Mobile Home <br /> (058) Other Residential <br /> 23). Collection Fee <br /> Exempt 6 Yes . 0 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 $ 26?;v . <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 Checked By <br /> NO CERTIFICATE.OF;OCCUPANCY.WtLL.BE ISSUEC,OR FINAL INSPECTION <br /> PERFORMED UNTIL TRE`TOTAL AMOUNTS' 18'T`ED HAVE <br /> . BEEN;PAID:AND . <br /> RECEIPTED'FOR-BY A CENTRAL 05RMtTTINt3.OFFiCE•OF PASCO COUNTY <br /> Acknowledgement balow.doea not Imply acceptance.of conaitrence,but slmply,receipt of•a copy of,thls form,placing <br /> the building penult ownei on notice of this assessmenCsnd thi conditbns'of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br /> f' • <br />