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PASCO COUNTY, W LORIDA <br /> _ Permit No. q <br /> Date Permitted <br /> Builder Name/Owner Name <br /> .�ontrot# , <br /> County Parcel No. 2 +ro- .2/!� d ^L�G?Lx -d ubDiv: <br /> Address/Location 3 Z Lt K.te- 4 1e- <br /> Classification/Type of Use 6LYY r e- r,GL�� b`t-� <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: o 7 <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount Z•t� Zone No. TAZ: <br /> SCHOOL IMPACT FEE -7 /� <br /> Account (056) Single-Family Detached House Amount $ �, <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt [� Yes ❑No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreatio-nn Total <br /> Zone TOTAL AMOUNT $ 16 9,5f <br /> Exempt ❑Yes ❑ No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total _ � . <br /> Exempt ❑Yes ❑ No How Determined Total Amount-'C./ <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By _ Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN N PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY <br /> Acknowledgement below does not imply acceptance of concurrence,but simply receipt of•a copy of this form,placing <br /> the building permit owner.on notice of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />