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/r <br /> PASCO°COUNTY, FLORIDA <br /> a etit No. Z D 1 <br /> • � `, •• '` Date Pe(niltted 1-1-24 <br /> s Builder Name/Owner Name to of r Control#' _ <br /> r 2q 4 2161hc 80"-Z3V8 SubDIV: hWA <br /> County Parcel No. <br /> Address/Location <br /> ClassiflcatlonrType of Usta sl lii►+.�, <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 7, 37 <br /> i <br /> Exempt [3 Yes ❑No How Determined <br /> 3 Z <br /> Impact Fee Amount S�/�. Zone No. TAM <br /> SCHOOL IMPACT.FEE ` <br /> Account ally- $ingWamlly.Deteehed House Amount I$ <br /> (057) Mobile Home <br /> (055) Other Residential <br /> 123) Collection Fee' <br /> Exempt a Yes (3 No How Determined <br /> PARKS;AND;RECREATION FEE <br /> Land Account'• __ Land.Credil Land Total <br /> t Recreation Account Recreation Credit .Recreation Total <br /> i Zone TOTAL AMOUNT $76 9 S6 <br /> • I <br /> Exempt Q Yes ❑No How Determined <br /> LIBRARY FEE <br /> Land Account Lend Credit Land Total <br /> Fact lty.Accouni Facility Credit Facli ty Total I 1 <br /> Exempt 0 Yes 0 No How Determined Total Amount I <br /> RESOURCE FEE , ERU <br /> TOTALAMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE OF;OCCUPANCY WILL BE ISSUED.OIt:FINAL INSPECTION <br /> PERFORMED UNTIL_THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAID:AND , <br /> RECEIPTED FOR BY A CENTRAL'PEOGNe OF wow,PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply receipt ate ccpy of two form,placing <br /> the bWlding pamtit owner on notice of dds eesessinent and the contklioes of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br /> F <br />