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RA►SCO COUNTY, FLORIDA <br /> Permit No. .21q <br /> Date Permitted <br /> Builder Name/Owner Name Control#' <br /> County Parcel No. 32-25=-2-I- b 1!�^t)1&4-6ubDON: �J'z w'r" <br /> Address/Location `3 5S 6 7 �S�e f <br /> ClasslflcatlonlType of Use cSl ncl e rnz <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: '�(�2 <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount $.34,1,3-y?, Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Singlo-Family Detached House Amount $ <br /> (057) Mobile Home <br /> I (058) Other Residential <br /> 123) Collection 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 Recreation Total <br /> Zone TOTAL AMOUNT $ 2 6 It(51 <br /> Exempt ❑Yes Q No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑ No How Determined Total Amount !tt2 <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By �'.A Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY <br /> 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 coridltlons of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />