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<br /> <br />PASCOCOUNTY;:FLORIDA. <br /> <br />b::~~~llted .~lo0 <br /> <br />Builder Name/Owner Name E'>e4-\ev- ~(.l; ~ -+- Control # <br />. County parce.! No. ()Z-2(p.~2.\ ~ D2~C. DOCO[) ~OO5c:.J subDlv: ~d.Q.J'.h::........ Oa..kS <br />Address/Location as i \ ~ K'jL~ l, l t ~ '1 (\.1-. Lb+-- t:; <br />Classlfiaationrrype of,Us~ l:>~pL~ <br />TRANSPORTATION IMPACT F.EE, Rate: Sq FtUnlt: 2 \ 12- <br />~xempt 0 Yes GffJo Ho.w DEl1eImlnecl <br />$ . 5C'l("~ cfO Z N TAZ: <br />Impact fee Amou.nt . .\ ~ G. _ . one o. <br /> <br />SOHOOL IMPAGT FeE <br />Account (056) Single-Family Deiached House <br />.' . (057) Mapile Home <br />(058) . Other ~esldentlal _ . <br />J.:l23) C~ctlon Fee' . <br />Exempt .U YSEi L!:1 NQ How Patermlni;ld <br /> <br />Amount $ \ c..o q do, .~~ <br /> <br />PARKS AND REOREATION FEE <br />Land Account . Land Credit <br /> <br />4tnd Total <br /> <br />Rel~n9ation Account <br /> <br />Recreation Credit <br /> <br />Rt;lcreatl~o Total <br /> <br />Zone <br /> <br />TOTAL-AMOUNT. . $ <br /> <br />Exempt 0 yes 0 No <br /> <br />LIBRARY FEE <br />Land Account. . <br /> <br />Facility Account <br /> <br />Ho\\!,Petermlneq <br /> <br />Exempt 0 Yes. 0 No <br /> <br />'RESOURCE FEE <br />TOTALAMOI,JNT <br /> <br />Land Total <br />Facility Tota! <br />. Total Amount <br /> <br />Wind Credit <br />Fac'llty qredlt <br />How Determined <br /> <br />'. ERU <br /> <br />prepared By <br /> <br />Chec~ed By <br /> <br />. . <br />. . . <br />NO 9l::RTIFICATE Of OCCU~.ANCY WILL BE ISSUED OR FINAL INSPECTION <br />P.ERFORMED U_NTI~ THE TOTAL AMOUNTS LISTED HAVE <br />. BEEN P.AlD ANQ . <br />R!:CEIPTED FOR BY A CEt-JTR.A.L p.~~l\'Ilrr'NG OFFICE. OF PASCO COUNTY <br /> <br />Acknowledgement pelow does not Imply Bccep!ai1ce of conC!Jrrence,buf simply receipt of-a copy of thl~ form, placing <br />. . the pulldlng pe""1t owner 00 nOliG8 oflhls asssssmsnt aI)d the condlUons of pavrnent tor SBme. . - <br /> <br />:,. <br /> <br />RECEIVED BY <br /> <br />PATE <br />RECEIPT NO. <br /> <br />DATE <br /> <br />BY <br />