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RASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitte 2 <br /> /j <br /> ^Builder Name/Owner Name G,�.lLYIA-Y Control#' <br /> County Parcel Na. ('24 2-1 611d 06C�6 Zh56a Sub�rD-iv�:- <br /> AddresslLocation Q 7 IV4 t�1 <br /> \ r <br /> Classification/Type of Uses <br /> `{ TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: Z�372 <br /> Exempt n lies ❑ No / How Determined <br /> I <br /> Impact Fee Amount $. -51 Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ // Z(j <br /> (057) Mobile Home <br /> (068) Other Residential <br /> 123) Collection Fee <br /> Exempt [ Yes ❑No How Determined <br /> i - <br /> ll. PARKS AND RECREATION FEE- <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zane TOTAL AMOUNT $ <br /> Exempt ❑Yes ❑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- <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 /> BEER PAID AND. <br /> RECEIPTED FOR BY A CENTRAL PERMITTiN©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 conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />