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PASCO COUNTY, 1=LO,RIDA <br /> Permit No._ <br /> 7 <br /> Date Pemsitt ' 4 LZ 2.-.?v <br /> Builder Name/owner Name L', . Control#' <br /> County Parcel No. c3� Z- Ub5IV: <br /> Address/Location <br /> ClassiftcationrType of Us@ �' %t /`!4-1 <br /> ! TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt Yes--Q No How Determined <br /> Impact Fee Amount $ 3.4 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ � ��.Z <br /> < (057) Mobile Home <br /> i (058) Other Residential <br /> 123) Collection Fee <br /> Exempt [�Yes . Q No How Determined <br /> PARKS AND RECREATION FEE- <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 /> LIBRARY FEE <br /> Land Accouri 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 ISSUEQ OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN 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 buAding permit owner on notice of this assessment and the conditions of payment for same. <br /> w. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />