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PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted <br /> Builder Name/Owner Name Control#' <br /> County Parcel No: Z9''-Zf_.2i--/ 011 D ZG LX)./1Q 4SubDiv: •. <br /> Address/Locatlon �/ �- � 't /04 <br /> Classiflcattontrype of Usq 's-halae_5►Q6 <br /> i TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2 -1 2— <br /> Exempt' Q Yes -Q No How Determined <br /> Impact Fee Amount �31 ✓y Zone No. TAZ: <br /> k <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ <br /> (057), Mobile Home <br /> 4 (058) Othe'r.Residential <br /> 123), Collection Fee <br /> Exempt [j Yes . Q No How Determined <br /> PARKS AND RECREATIOWFEE- <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ �.. <br /> Exempt ❑Yes Q No How DetennIned'a <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 WILL BE ISSUEl),OR.FINAL INSPECTION <br /> PERFORMED UNTIL TWTO'P%U:`AMQt)NTS 118TED HAVE <br /> BEEN11 AND <br /> RECEIPTED FOR BY A CENTRAL PHkMITTINO OFFICS.OF PASCO.COUNTY <br /> Acwadgam ent belowdone net Imply,accep tance of concurren ce b u,a'lnnlyot 00 copy.of this fbn placing <br /> thebUllno pefnitown6,dnnoticeof thls assessmentandthtecopot }ppamentforsame.DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />