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� � i <br /> RASCO COUN1' � � <br /> Y, FLORIDA <br /> Permit No. �.��� <br /> Date Permitted 2 <br /> Builder Name/Owner Name �� ���i�� . <br /> Control# <br /> . County Parcel No. (��-Z(p,.Z�_;•�'�p ����ubDiv: �j /�,�-� <br /> Address/Location 3�a � � � �'�Fj� �i <br /> � �� <br /> Classification/Type of Use c�, �e I <br /> � <br /> TRANSPORTATION IMPACT FEE , � Rate: ' <br /> , Sq.Ft Unit: � 3(Q <br /> . • Exempt [] Yes � No How Determined ��— <br /> � Impact Fee Amount $3� Zone No. • <br /> __ TAZ: <br /> SCHOOL IMPACT FEE —r— <br /> Account (056) Single-Family Detached House Amount $ � Z <br /> (057) Mobile Home <br /> (058) Other Residential ' . <br /> � � 123) Collectlon 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 ; <br /> Recreation Total �_ <br /> - Zone •� TOTqL AMOUNT <br /> . , $ 7�9`S,� � <br /> Exempt � Yes � No , How Determined • .. <br /> LIBRARY FEE <br /> Land Apcount Land Credit Land Total ' <br /> Facility Account Facility Credit Facility Total <br /> Exempt [] Yes � No How Determined Total Amoun <br /> RESOURCE FEE - ERU <br /> • TOTALAMOUNT ' <br /> Prepared By Checkgd By �. <br /> - NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> � BEEN PAID ANp � <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY 'i <br /> � <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply recelpt of a copy of this form, lacing <br /> the bu(Idfng permit owner on noUce of this assessment and tha conditfons of payment for same. <br /> � <br /> i <br /> DATE RECEIVED BY I <br /> RECEIPT NO. __ DATE i BY I <br /> ' . _ . i I <br /> I <br />