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PA CO COUNTY, FLORIDA <br /> Permit No. <br /> 9 <br /> Date Permitted <br /> Builder Name/Owner Name &41A�_W_ ,�Control W <br /> County Parcel No. 41 ZO 060 SubDly: `ks� ��=�/ <br /> Address/Location <br /> 9 <br /> ClassificationfType of Use <br /> TRANSPORTATION.IMPACT FEE Rate. Sq.Ft Unit: 3 <br /> Exempt ❑Ves 0 No How Determined <br /> I ` <br /> Impact Fee Amount _ � � Zone Na. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (058) Single-Family Detached House Amount $ A kZ1 <br /> 4 (057) Mobile Home _ :L�:�-- <br /> i (058) Other Residential <br /> 123) 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 $ ' Jfo�4 <br /> Exempt ❑Yes ❑No How Determined` <br /> s — <br /> LIBRARY FEE <br /> Land Accaunf Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes Q-No How Determined Total Amount <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By ! Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUEf7-OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS;LISTED HAVE ' <br /> BL=EN PAID AND.. .'. <br /> RECEIPTED FOR BY A CENTRAL-.PERM.ITTIN©OFFICE-OF PASCO COUNTY <br /> Ackdoydedgement below does not Mply acceptance of contcqrrence,but aimply receipt of wook.of thin form,placing <br /> the bulldina permit owner on notice of thle'assessment and the conditlons of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />