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RASCOZOUNTY, FLORIDA <br /> t: <br /> Permit No. <br /> Date Permitted 11=g2=t� <br /> Builder Name/Owner Name -P41 fir— io1 le-� Control#' <br /> County Parcel No, 7-q Z fo a,1611 A DDDOb Z-a SubDiv: <br /> Address/Locatlon 3 to A,,,T <br /> ClassineadonRype of Usq. <br /> TRANSPORTATION IMPACT F Rate: Sq.Ft Unit: z1 3 7� <br /> Exempt []Yes [Q'No How Determined <br /> Impact Fee Amount $31 Z Zone No. TAZ: <br /> SCHOOL:IMPACT FEE Z� <br /> Account (05t3) Stngle-t amlly Detached House Amount $ 11/11, <br /> ' (057) , Moblle;Home <br /> i (q5q) Other.Residential <br /> 123)• Collection Fee <br /> ` Exempt [�Yes. Q.No How Determined <br /> PARKS.`AND RECREATION FEE• <br /> L 6d`Aocount Land Credit Land Total <br /> Recreation-Account Recreation Credit Recreation Tonal <br /> Zone TOTAL AMOUNT $ 76!r b <br /> --`=F <br /> Exempt Q Yes ❑No How Deteimined'� <br /> LIBRAR;(FEE <br /> Land Account Land,Credit Land Total <br /> Faculty Account Facility Credit Facility Total <br /> Exempt [Q Yes ['iNo How Determined Total Amount­-7 <br /> RESOURCE-FEE' ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> 02-�.� <br /> NO a RTIFIQATE;OF OCCUPANCY WILL BE ISSUED OR.FINAL INSPECTION <br /> PERFORMED UNTIL,THE'TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAID.AND <br /> RECEIPTED FOR SY A CENT RA4 PERMIrnNO OPFICE•OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply,receipt of•a oopq of this form,placing <br /> Me building permit owner•on notice of this assessment and die conditions of payment for same, <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />