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- z RASCO COUNTY, FLORIDA <br /> Permit No. �S <br /> Date Permitted f <br /> Builder Name/Owner Name Lam'K Y1 Q/ Control#' + <br /> County Parcel No. 0 16111--4-W SO" OCI(ADO-D 100 SubDiv: <br /> .: Address/Location ' (Q-s � <br /> Classificationrrype of Use �rq, Q <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: c,-- <br /> t <br /> Exempt ET Yes ❑ No How Determined <br /> Impact Fee Amount $. j tpc 12. Zone No. TAZ: <br /> ` SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> ' (123) Collection Fee <br /> Exempt H 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 $762.c� <br /> Exempt ❑Yes ❑ No How Determined <br /> LIBRARY FEE <br /> ' Land Account Land Credit Land Total <br /> f1. 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 /> i <br /> I <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION i <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> i Acknowledgement below does not Imply acceptance of concurrence,but simply receipt of a copy of this form,placing . <br /> the building permit owner on notice of this assessment and the conditions of payment for same. <br /> to-' <br /> t; DATE RECEIVED BY <br /> 4 RECEIPT NO. DATE BY <br /> F <br /> P ' <br />