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{ <br /> t RASCO COUNTY, FLORIDA <br /> _ Permit No. l Z <br /> Date Permitted _ 3't-2-1 <br /> -Buiider Name/Owner Name Z eiVlAt `� Control#' " <br /> County Parcel No. -2,(a 24 SubDiv: <br /> Address/Location 1 11a.,oian ill tvv- Cr <br /> Classiticationflype of Us$ be <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑Yes ❑ No How Determined <br /> Impact Fee Amount �. �1� Zone No. TAZ: <br /> SCHOOL IMPACT FEE12-6 <br /> Account (056) Single-Family Detached House Amount $ 6 41 <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt [�]Yes ❑No How Determined <br /> 1. PARKS AND RECREATION FEE- <br /> Land <br /> Account land Credit Land Total <br /> Recreation Account Recreation Credit Recreadon-Total <br /> t _ <br /> Zone <br /> TOTAL AMOUNT $ r <br /> Exempt ❑Yes ❑ No How Determined <br /> LIBRARY FEE <br /> - Land Account Land Credit Land Total , <br /> I 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 /> ' B<?EN: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 two form,placing ~ <br /> the building'permit owner an notice of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />