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PASCO COUNTY, FLORID <br /> Permit No, l d <br /> Date Permitted —16�� <br /> j 'Builder Name/Owner Name Control V <br /> County Parcel No. SDSubDIv: 1 t <br /> Address/Location '7505 `"� <br /> Classification/Type of Usg <br /> TRANSPORTATION'IMPACT FEE Rate: Sq.Ft Unit: 2-.4 43 6 <br /> Exempt []Yes (] No How Determined <br /> Impact Fee Amount, 02— Zone No. TAZ: <br /> SCHOOL IMPACT FEE' tL j <br /> Account (056) Single-Family Detached House Amount <br /> s (057) Mobile:Horne <br /> I (058) Other,Resldendal <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 ,$ <br /> Exempt ❑Yes ❑No How Determined <br /> LIBRARY FEE <br /> Land Account LanclZradit Land Total <br /> Facility Account Facility-Credit Facility Total <br /> Exempt ❑Yes 0-No How Determined Total Amou"152 •—• <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By r U f'�--- Chocked By <br /> NO CERTIFICATEW OCCUP MCY.VYILL BE ISSUEO OR,FINAL.INSPECTION <br /> PERFORMED ONTIL Tkk;TOTAL AMOUNTS LI87`ED HAVE <br /> 915EN,PAID AND , <br /> RECEIPTED FOR BY A CENTRAL PERMITTINO'OFFICE.OF PASCO COUNTY <br /> AcWyAedgemsnt below doaangt Imply acosptence of concurrence,but simply receipt ofa,00pV of this form,placing <br /> the butldhv permtt amer-on notice of this assessment and the condgiona of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />