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CIASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted' <br /> Builder Name/Owner Name Control#' <br /> County Parcel No. 2-6. 2�'zl 0 bd(006a1.6 SubDiv: ur <br /> Address/Location <br /> ClassMcatlonlType of Usq - gyp le h <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 7::�8 <br /> Exempt 0 Yes , Fj- -No How Determined <br /> Impact Fee Amount $. ,31(o3;, DD . Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ T <br /> (057) Mobile Home <br /> (058) Other:Residentlal <br /> 23) Collection Pea <br /> Exempt d Yes. .[]No How Determined <br /> PARKS AND.RECREATION•FEE <br /> Land Account 'I Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $$ 611,fib <br /> Exempt ❑Yes 0 No How Determined <br /> LIBRARY FEE <br /> Land AcUunf 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 ISSUED-OR FINAL:INSPECTION <br /> PERFORMED UNTIL'THE TOTAL AMOUNT$LISTED`HAVE <br /> BEEN PAID.AND, <br /> RECEIPTED FOR BY A CENTRAL':PERMITTING OFFICE,OF PASCO COUNTY <br /> Acknowledgginantbelow;does,not Imply acoeptahce of.concurrence,,but simply,recelpt of a:copy of lhls form,placing <br /> the b0dind permit owner on hoU666f tlils assessment and tha conditions of payment forsame. <br /> DATE RECEIVED'BY <br /> RECEIPT NO. DATE BY <br />