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K' <br /> PASCO COUNTY, FLORIDA <br /> { <br /> I _ _ Permit No. <br /> ll /�^ / /,� Date Permitted u. <br /> yBuilder Name/Owner Name 6//�� 14- o kk Control#' " <br /> County Parcel No. /�z. WO f)D72n.. subDiv: <br /> Address/Location <br /> ClasslflcationlType of Us@ <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2� Z. <br /> Exempt n Yes [] No Honer Determined <br /> Impact Fes Amount $J-10I D— Zone No, TAZ: <br /> K. <br /> SCHOOL IMPACT FEE �j ! <br /> Account (056) Single=Family Detached.House Amount $ F�i /1�1�i <br /> i (057) M6011i,Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt Yes: D 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 Detemined� <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facillty Credit Facility Total <br /> Exempt n Yes [) No How Determined Total Amount <br /> -K-�.-) <br /> RESOURCE'FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE.OF O..CCUPANCY.WiLL.BE ISSUED OR;FINAL.INSPECTION <br /> PERFORMED UNTIL THE.TOTAL-AMOt.lktii I.18TED i4AVE <br /> $EEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE-OF PASCO COUNTY <br /> AckrfoWedgement:beiow does not imply acceptance of concurrence,but simply receipt ON copy of thls.fonn,placing <br /> the building parmlt.ownat on notice of this assessment and the conditions of payment for some. <br /> QATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />