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= RASCO COUNTY, FLORIDA <br /> Permit No. � Z � r � <br /> Date Permitted <br /> Builder Name/Owner Name � �'r ��� Control # <br /> CouMy Parcel No, h 3'�2�-2�"����'����' ��ubDiv: T'^�^ <br /> Address/Location �j zJ � I Yh✓���U �n ���� � � � �s <br /> ClassificationfType of Us@ (�� +�P�'t � ��� n� <br /> TRANSPORTATION IMPAGT FEE , Rate: Sq Ft Unit; �(t��2 <br /> Exempt [] Yes � No How De.termined <br /> Impact Fee Amount $�T� � Zone No. TAZ: <br /> SCHOOL IMPACT FEE ,I <br /> Account (056) Single-Family Detached House Amount $^��� Y- � <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt [� Yes [] No How Qetermined <br /> PARKS AND RECR�ATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Rec�eation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ � �,� <<S� <br /> Exempt � Yes � No How Determined <br /> LIBRARY F�E <br /> l.and Account Land Credit Land Total <br /> Facility Account Faciljty Credit Facllity Total <br /> Exempt � Yes (] No How Determined Total Amount- <br /> RESOURCEFEE ERU <br /> TOTALAMOUNT � <br /> Prepared B � � Checked Sy <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 8Y A CENTRAL PERMITrIN(3 OFFICE OF PASCO COUNTY <br /> Acknowledgement below doea not Imply acceptance of concurrenoe, but slmply recelPt of a copy of this fonn, placing <br /> the bullding permll owner on nollce of ihls assessment and th6 condllions pf peyment for same. <br /> QATE R�CEIVER BY <br /> RECEIRT NO. ___ DATE BY <br />