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i <br /> RASCO COUNTY, FLORIDA <br /> Permit No. <br /> 1 <br /> w ,-� Date Permitted 3 <br /> /Builder Name/Owner Name �t e f 6_� Control#' <br /> County Parcel No. 3 ,5 a 10 160 0 1 i O DQD70�ubDiv: <br /> Address/Location 30376 S61764 <br /> Classification/Type of Use l' (//�e <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt n fifes ❑ No <br /> How Determined <br /> Impact Fee Amount �. J��o Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ 20 <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt d Yes Q No How Determined <br /> l <br /> I. PARKS AND RECREATION FEE- <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit; Recreation Total <br /> i <br /> Zone TOTAL AMOUNT $ <br /> Exempt ❑Yes ❑ No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Faculty 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 recelpt of-a copkbf 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 />