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I#ASCO COUNTY, FLORIDA <br /> 1 ,d <br /> Permlt No. �r <br /> Date Permitted VZdo <br /> Builder Name/Owner Name kD. lin Control 0' <br /> County Parcel No. 3S 2-6 2-1 11 In 0(3b0 006a SubDIv: -26 �#"i <br /> Address/Location rvic A k D1t, <br /> Ciassification/Type of Use r t <br /> TRANSPORTATION IMPACT FEE . Rate: Sq.Ft Unit: 2l 36 <br /> Exempt ❑Yes []No How Determined <br /> r <br /> Impact Fee Amount . 3, �. Zone No. TAZ, <br /> SCHOOL.IMPACT FEE / <br /> Account (056) Single-Family Detached House Amount $ {t r �5 <br /> i (057) ,Mobile:home <br /> t (056) Other Residential <br /> 123) Collection Fee <br /> Exempt [ Yes. Q No How Determined <br /> PARKS"AND RECREATION FEE <br /> Land Account Land Credit hand Total <br /> Recreation Account Recreation Credit Recreation Total. <br /> Zone TOTAL AMOUNT $ ,7tMD9i ,. <br /> Exempt [�Yes []No How Determined <br /> LIBRAR)(FEE <br /> Land Account Land-Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes n No How Determined Total Amount i 'r <br /> RESOURCE FEE . ERU <br /> TOTAL AMOUNT <br /> Prepared By. Checked By <br /> NO CERTIFICATE_OF OCCUPANCY WILL-BE ISSUED.,,OR FINAL 14SPECTION <br /> PERFORMEi2 ClNTIR TFIE,"?i07AL AMCt NTS LISTED kAVE <br /> BEEN,PAID.AND <br /> RECEIPTED FOR BY A CENTRAL PEIt thNG OFFICE-OF PASCO COUNTY <br /> Ackrfowiedgement below does rid-imply acceptance of concurrence,butsinply receipt of a 000V of this form,placing <br /> the bullding psimit owner.in notice of We essessmerit and the conditions of paymentfor same: <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />