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RASCO COUNTY, 'FLORIDA <br /> = y <br /> t • <br /> k ' <br /> Permit No. <br /> Date Permuted /1- D-�?a�1� <br /> Builder Name/owner Name� ,r1.VlcGt 1�61)�gS . Control# '" <br /> County Parcel No. 2-?1 2 a 21 4//b"QQZMaSubDly: A&4&1--;1 <br /> Address/Locatlon,,�9/''G 6 G/�� <br /> »r< <br /> Classtlicatlon/I'ype of Us$ <br /> TRANSPORTATION IMPACT FEE • Rate: Sq.Ft Unit: Z ZZ <br /> Exempt []Yes Q No How Determined <br /> Impact Fee Amount $: j 6,32' Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> Account (O58)' Siriyle-Family Detached House Amount $ <br /> (067) MoblWHome <br /> i (058) Other Resldentlal <br /> 123), Collection Fee <br /> ` Exempt [ Yes. 0 No How Determined <br /> PARKS'AND.RECREATIONFEE- <br /> L:and Ad-pount Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ e <br /> Exempt ❑Yes !]No How Oetetmined, <br /> UBIFL FEE <br /> land Accounf Land Credit Land Total <br /> Facility Account Facility Credit Facility Total $' <br /> Exempt ❑Yes []:No How Determined Total Amount <br /> RESOURCE-FEE ERU <br /> TOTALAMOUNT <br /> Prepared By Chocked By <br /> NO CERTIFICATE OF.00CUPANCY WILL:BE ISSUEP QR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL:AMO.t.-INTS LISTED HAVE <br /> BEEWPAH)AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE-OF PASCO COUNTY <br /> Adsrfowiedgement below does,not Imply acceptance of concurrence,but simply receipt of acopy of thlsform,ptacind - <br /> tBe building permit owneron notice of this assessment and the conditions of payment for some. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />