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PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted <br /> Builder Name/Owner Name kema�r- Control#­ <br /> County Parcel No, SubDlv- <br /> Address/Location 001-7 IVv,-e- <br /> Classificationrrype of Use <br /> TRANSPORTATION IMPACT FEE Sq.FtUnIt. <br /> Exempt n Yes Fj No How Determined <br /> Impact Fee Amount $.3i62g Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Famlly Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) 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 -Recreation Total <br /> Zone TOTAL AMOUNT $ J, 6 6 <br /> Exempt []Yes No How Daterminedq, <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt F1 Yes ❑ No How Determined Total Amow� <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Chocked By <br /> v <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED ORYINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> . 1BEEN PAID A14D <br /> RECEIPTED:FOR BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply_receipt of 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 />