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PASCO COUNTY, FLORIDA <br /> z: <br /> Permit No. p <br /> ! <br /> ,,/_ Date Permitted 2„ Z-2a2 <br /> Builder Name/Owner Name �VZ Control#' <br /> County Parcel No. Z. lJd l4 D2-DU6 D o SubDly: (_a4l6p, rl�f <br /> Address/Location U or <br /> ClasslficatioMType of Usq c! k { <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 7 __ <br /> Exempt ❑Ves [] No How Determined <br /> y <br /> Impact Fee Amount $,'31 Zone No. TAZ: <br /> . SCHOOL IMPACT FEE. <br /> Account (056) Single-Family Detached House Amount $ - �// 2-t5 <br /> (067) M6160 3 Home <br /> l (068) Other Residential <br /> d <br /> 23) Collection Fee <br /> Exempt 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 $ ' <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 j' <br /> RESOURCE FEE' ERU �?'�" <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE..OF OCCUPANCY WILL BE,ISSUED OR FINAL INSPECTION <br /> PERFORMED.UNTIL THE TOTAL AMOUNTS LISTED 14AVE <br /> BEEN PAID AND <br /> RECEIPTED.FOR BY A CENTRAL PERMITTING OFFICE,OF PASCO COUNTY <br /> Ackrfowiedgamsnt below dose not Imply acceptance of concurrence,but simply receipt of a.copy of-this form,placing <br /> the bonding peimit'owner•on notice of this assessment and the conditions of payment for same: <br /> DATE -RECEIVED BY <br /> RECEIPT NO. DATE BY <br />