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RASCO COUNTY, FLORIDA <br /> Permit No. 3 <br /> Date Permitted 2.- <br /> Builder Name/Owner Name i—� Control#' " <br /> County.Palrcel No, JZ-2A�2r1 06 JO 0/1-3Lb 6l-h). SubDIV: St <br /> Address/Location 7 IQ &,etk- �t71 <br /> Classilication/Type of Usg <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: i <br /> Exempt* ❑Yes [ No How Determined <br /> Impact Fee Amount $.` / ?J - Zone No. TAZ: <br /> . SCHOOL'IMPACTFEE <br /> Account (050) Single-Family Detached House Amount $ � <br /> t (057) Mobile Home <br /> i (058) Other Residential <br /> 123) Collection as <br /> ` Exempt (�Yes. ❑No How Determined <br /> PARKS AND RECREATION FEE- <br /> Land Account Land Credit Land Total <br /> i Recreation Account Recreation Credit Recreation Total �y <br /> Zone �_ TOTAL AMOUNT $ ' �'� `"1, <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 4 -. _ Checked By <br /> NO CERTIFICATE.OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL All OQNTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRALPERMlTTIN©OFFICE-OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance or owcunenae.but simply recelpt of a cope of this form,piecing <br /> the bull ft pernik owner,on nofle of thle assessment and the conditions of payment for same. <br /> DATE RECEIVED BY j <br /> RECEIPT NO. DATE BY <br />