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R!ASCO COUNTY, FLORIDA <br /> Permit.No. <br /> Date Permitted 11 <br /> Builder Name/Owner Name Control#' <br /> County Parcel No, 5-2s 2(— G -0206-0(ii SubDIv: :24 t— <br /> t r <br /> AddresslLocation 7!21 <br /> Classiflcatlonf Type of Us@ _ v <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑lies [] No How Determined <br /> Impact Fee Amount $, 31 Zone No. TAZ: <br /> 4 <br /> SCHOOL IMPACTFEE <br /> Account (056) .Single=Famliy Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt [�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 $ �,A 15% <br /> Exempt ❑Yes ❑No How Determined <br /> LIBRARY FEE <br /> i . <br /> Land Account 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 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 ftiQ c6ndltions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />