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� PASCO COUNTY, FLORIDA <br /> h K <br /> tAY <br /> 1 _ PermitNo. <br /> Date Permitted _ 41)— —A ob; <br /> 'Builder Name/Owner Name _ Control#' ' <br /> County Parcel No. _ 2-� t (} 4006W SubDiv: r'Y <br /> Address/Location <br /> Classiflcation/Type of Usq <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt n Yes [] No How Determined <br /> Impact Fee Amount_ . Jr �P - Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (05S) Sitigla-Family Qetached House Amount <br /> (057) Mobite Home <br /> (008) Oth®r Residential <br /> 123)- Collection Fee <br /> ` Exempt [ Yes.,Q'No How Determined <br /> PARKS'ANMRECREATION FEE- <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zane TOTALAMOUNT <br /> 'Exempt ❑Yes ❑'No How Deteirmined O <br /> UBRAM FEE <br /> Land Account Land Credit Land Total <br /> FacllltyAccount Facility Credit facility Total <br /> Exempt C]Yes 0 No How Determined Total Amount _ <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By U Checke&By <br /> NO CERTIFICATE,OF OCCUPANCY WILL BE;ItSUED,OR.Flk&L INSPECTION <br /> PERtwt3# IIIj b,NTIL IE:TOTAL AMCuNTS,LISTED.HAVE <br /> ` <br /> • BE�IY.PAID:AND.' <br /> RECEIPTED FOR-BY A CENTRAL`PERM17TtN®OFFICE OF PASGO GQtlNTY <br /> Ackr(owlsdgeMi tM below'do40fMWt Unpty acceptance of cortcutrence+but stmPiY+ Pt pay copy af.tltls fame,placing <br /> the tiui2dtng permit`owvne on nott cf thGa essesament and Nie cbr►d8ions of payiment for some. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />