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w <br /> PASCO COUNTY, FLORIDA <br /> K <br /> Permit No. <br /> bate Permitted (gy-7- <br /> yBuilder Name/Owner Name 46 kA Control#• ' <br /> County Parcel No. zr"ky70-6/&J— /06 SubDly: <br /> Address/Location O <br /> Ar <br /> Class(flcatlonlType of Use 1 L <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑lfes [] No Hove Determined <br /> Impact Fee Amount $,3 Zone No. TAZ: <br /> z <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ 1,2X _ <br /> (057) Mobile Home <br /> I (058) Other Residential <br /> 23) Collection Fee <br /> Exempt d 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 $ 2�. <br /> Exempt ❑Yes ❑No How Datermined <br /> LIBRARY FEE <br /> Land Accounf 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 W#LL BE;ISSUED OR.FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN.PAM-AND <br /> REC,EIPTED FOR BY A CENTRALARMITTING OFFICE-OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply receipt ofa copy of this form,placing <br /> the Wilding permit owner.on notice of this assessment and the contlifians of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />