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PASCO COUNTY, FLOMM <br /> ate No. <br /> Date Da Permitted <br /> Bulider NamelOwner Name t Control#' <br /> County Pamet No. 2 _�"2 l-b [�• v�j� SubDiv: t <br /> Address/Location c3 J <br /> Ciassiiication/Type of Use <br /> } TRANSPORTAMON IMPACT FEE Rate: Sq•Ft Unit <br /> Exempt []Yes 0 No How Determined � <br /> i �1 <br /> Impact Fee Amount $.�&3��(Jv Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Singie•Famlly Detached House Amount $7 <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee p. <br /> Exempt d Yes ❑No How Determined <br /> PARKS AND RECREATION FEE i <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit -Recreation Tootaall y i <br /> Zone TOTAL AMOUNT <br /> • I <br /> Exempt ❑Yes ❑No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total I <br /> Facdlity Ac count Facility Credit Facility Total , <br /> Exempt ❑Yes ❑No How Determined Total Amoun�_ 1 <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 PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMrMNG OFFICEOF PASCO COUNTY <br /> Acknowledgement below does not imply acceptance of conourrence,but simpy receipt of a copy of this forth,piacing <br /> the bull tng pamlit owner on notice of this assessment and the conditions of payment for some. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />