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� � , RASCO C.OUNTY, FLORIDA <br /> ' Permit No. ZZ <br /> ; Date Permitted ��..���] <br /> Builder Name/Owner Name �t�����ayrt�2.� Control# <br /> ' County Parcel No. �� -Z�_Qp"7�_�aA �, �D SubDiv: �� � <br /> , AddresslLocation ,�t��2. �R�p� ���� �-i-- <br /> , Classification/Type of Use _ �'r�il�j�� �,�4 �� <br /> TRAN�PORTATION IMPACT FEE Rate: -_ � <br /> : , - Sq Ft Unit: 3� 235 <br /> Exempt [] Yes � No How Determined <br /> � Impact Fee Amount $ ���Z�vV Zone No. <br /> __ TAZ: <br /> SCHOOL IMPACT FEE <br /> . Account (056) Single-Family Detached House Amount $ �� 8?�, Z� <br /> (057) Mobile Home <br /> (058) Other Resfdential . <br /> � 123) Collection Fee <br /> � Exempt [� Yes Q No How�Determined <br /> � PARKSAND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> � . � Recreation Account __ Recreation Credit <br /> Recreation Total <br /> � Zone . TOTAL AMOUNT $_7 6 9��"� <br /> Exempt � Yes �] No How Determined � • . <br /> LIBRARY FEE <br /> l.and Account Land Credit . <br /> Land Total <br /> , Facility Account Facility Credit ' <br /> Facility Total <br /> , Exempt � Yes [] No How Determined __ Tofal Amount�_ <br /> � lRESOURCE FEE ERU <br /> � .4TOTAL AMOUNT <br /> � <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 /> � RECEIPTED FOR BY A CENTRAL PERMIT7'NG OFFICE OF PASCO COUNTY <br /> Acknowledgement below does not imply acceptance of concurrence,but simply recelpt of a copy of this form,placing <br /> the building permit owner on notice ot this assessment and the conditions of payment for same. <br /> iDATE <br /> RECEIVED BY <br /> ECEIPT NO. __ pATE _� gY <br />