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PASCO COUNTY, FLORIDA <br /> Permit No. 21- <br /> Date Permitted <br /> ^Builder Name/Owner Name Control#' <br /> County Parcel No. 0 2 2 1 0 0000 )Q?/Q SUbDiv: Oa k--5 �9 <br /> Address/Locadon ILL 6ra-d--4'vJ <br /> ClassiticatioNType of Usq t? 7 f <br /> TRANSPORTATION IMPACT FEE . Rate: Sq.Ft Unit: 2,Rio <br /> Exempt• L lfes Q No How Determined <br /> { Impact Fee Amount $. Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> ((( Account (056) Single-Amily Detached House Amount $ � 4 <br /> (057) Mobile.Home <br /> ( (058) Othet'Residentlal <br /> 123)- Colleetion Fee <br /> ` Exempt Yes..❑�No How Determined <br /> PARKWAND.-RECREATIONfEE- <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 /> LIBRARx FEE ! <br /> ' Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes [] No How Determined Total Amount <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUEC OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTiAL.AMOIINTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY <br /> Aci ibWadgement below does not Imply acceptance of concurrence,but simply fecalpt of•a copj of this form,placing the building permit owner,on notice of fhie easement and the condNions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />