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, <br /> RASCO COUNTY, FLORIDA <br /> Permit No. f <br /> Date Permitted 07:/=� <br /> t -Buitder Name/Owner Name Control# <br /> Parcel o 85 z ,� <br /> I County afc t N . UD�D 6f ©l�l�(,�L�l? SubDiv: <br /> Address/Locatlon 2V <br /> Classiflcationrrype of Usq C2. <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: �I- a--z <br /> Exempt ❑Yes ❑No How Determined <br /> Impact Fee Amount $,31 & 32- Zone No. TAZ: <br /> SCHOOL IMPACT•FEE <br /> Account (056) Single-Family Detached House Amount $ '- <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> f Exempt 6 Yes ❑No How Determined <br /> i . <br /> E. PARKS AND RECREATION FEE- <br /> Land Account Land Credit Land Total <br /> i Recreation Account Recreation Credit Recreation Total <br /> i <br /> r . <br /> Zone TOTAL AMOUNT $ 7�-Z T <br /> i Exempt ❑Yes ❑No How Determined <br /> LIBRARY FEE <br /> t <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑ No How Determined Total Amauntl:i — <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 /> BR*PAIQ 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 copq 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 />