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t <br /> v <br /> PASCO COUNTY, FLORIDA <br /> Permit No. AK8 <br /> Date Permitted -� <br /> Builder Name/Owner Name '&lk '2- Control# <br /> County Parcel No. W 2 o 0/Z£D D 6CM P2 0 SubDiv: 004KS <br /> Address/Location t4 2 00 r Q <br /> 1,r�r)t� s <br /> CiassiflcationRype of Usti (//e 4,n/c <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 13 DZ <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $. Zone No. TAZ: <br /> SCHOOL IMPACT FEE Account (056) Single-Family Detached House Amount $ — , Yl j Z 2A <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123)' Collection Fee <br /> Exempt [ Yes ❑No How Determined <br /> E ' <br /> t. PARKS AND RECREATION FEE, <br /> Eq Land Account Land Credit Land Total <br /> r <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ Zl <br /> g, 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 r Checked By <br /> NO CERTIFICATE OF OCCUPANCY VWLL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BIrWPAID AND. <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply receipt of a copy of this form,placing ~ <br /> the building permit owner on notice of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />