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. , <br /> .,, ,��, <br /> ;� � � : R�SCO C4UNTY, FL4RIDA <br /> � �. <br /> Permit No. � �`d� � <br /> Date Permitted '� �' f l <br /> Builder Name/Owner Name �'�Y�.►�� r�''l� � Controi # <br /> - � 2-�U- DD��O' � �9�6ubDiv: �1- � !� ' �"'' ` -�dD <br /> County Parcel No. � 3"Z� Z� b <br /> ' ( ; ✓v.b'e-(' � (,� 1.,1� � 13 � <br /> Address/Locatlon T <br /> � � o��en�,a I u� ll � <br /> Classificatlon/Type of Us� � 1 <br /> TRANSPORTATION IMPACT FEE � Rate: Sq Ft Unit; – I� D G .— <br /> Exempt [] Yes ❑ No How Determined <br /> ' Impact Fee Amount $�J� QG Zone No. T�� <br /> SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ ��� ���d <br /> (�57} Mobile Home <br /> (058) Other Residential <br /> 123) Collectiorl Fee <br /> Exempt [] Yes [] No How Aetermined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Rec�eation Credit Recreation Total <br /> � <br /> Zone TOTAL AMOUNT $�I �o q ��� <br /> Exempt ❑ Yes [� No How Determined <br /> LIBRARY F�E ^ <br /> �.and Account Land Credit Land Total. <br /> Facility Account Facility Credit Facllity Total <br /> Exempt � Yes �] No How Determined • Total Amount �_ <br /> RESOURCEFEE ERU <br /> TOTAL AMOUNT �� p�� , �j � <br /> Prepared By Checked Sy <br /> NO CERTIFICA7E OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> REC�IPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrenaa, but slmply recelpt of a copy of thl� form, placing <br /> the building permit owner on notice of this assessmenf and tha conditlons af pa�rment for seme. <br /> RATE R�CEIVE❑ BY <br /> RECEIPT NO. DATE BY <br />