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<br />r- <br /> <br /> <br />..... --_.....,~-...........- <br /> <br />"' <br />~ <br /> <br />PASCO COUNTY, FLORIDA <br /> <br />--.__......__..._.---~...-.-.__..-......----._..__.._--- <br /> <br />( <br /> <br />Permit No. ----./'t.-22----:__ <br />) Date Permitted _~_~~~~__ <br /> <br />~l~llder Nam~/Owner Nam~>~M;.e_li~ r2Q.~~dt5- .t('1mfLControl # ___..____ <br />. (.;;,t>.A{ r~ . <br />County Parcel No. h_____.____.______________ SubDlv: --.___h__.______ ____ <br /> <br />Adrlress/l.ocalion ...::$.iio._-L_-(~~~:::'l2d!__~L,-______._. .______________.__ <br />;; '. ) ) <br />Classlficallon/rype of Use 1.~~L~J (--<J'I~t.._ ~:-2d.&L:::=--__m ___._ .~ <br /> <br />' TRANSPORTATION IMPACT F'~.' Rate: _m Sq Flllnl!: ---._._..m___ <br /> <br />E)(empt [] Yes [J No How Determined _______ <br />. ) <br />Impact Fee Amount ~~ 1/Q~_~..!~ ____ Zone No. TAZ: _______._____.__ <br />!,)a( / /_ /~- '_/"',,<-,,1 <br />-.,...,-,_._--<~_... -- x. . ..I....t.._'...;:r.w::;.____._.........________.......-.."'.____..._._______.""".._____ <br />SCHOOL IMPACT FEE <br />Account (056) Slngle.-Farnlly Detached I-louse <br />(057) Mobile Home <br />(058) Other Residential <br />J123) Cgllectlon Fee <br />Exempt rJ Yes LJ No How Detennlned ________________.________________.. <br /> <br />---_. ----------_...---_.._""--"-_.._~,_. <br /> <br />Amount <br /> <br />$ <br /> <br />Ail! <br />7V <br /> <br />_._-"----------------"._---"._~._--~_.~- <br /> <br />-----~.---.----.--.....-,.----______.4 <br /> <br />PA'Ri<S" AN1rRECREATION FEE--n <br />Land Account Land Credit <br /> <br />...... -...---....-....-------- <br /> <br />Land Total <br /> <br />---.----.----...--.--------- " --..-- <br /> <br />------_._._--._._--...._~_._._.-.. ...- --- <br /> <br />Recreation ACCOlfl It necreation Credit <br /> <br />r~ecreation Total <br /> <br />--.----"--------..- -.---.--.--- <br /> <br />Zlllte <br /> <br />TOTAL AMOUNT __.~___._._..__ ____..P._.q____.__ <br /> <br />Exempt [] Yes [] No <br /> <br />TIBRARY FEE--~--'"'' <br />Land Account <br /> <br />110w Determined <br /> <br />~- ~-----_.__._---'------_.~--~---------_.. -.------------. _ .._------ <br /> <br />.--------~----...,.- L ...____...____....-_.---_,.._~__ <br /> <br />Land Credit <br /> <br />Land Total <br /> <br />_._---._.~--~.- -- ........-....--.----. <br /> <br />Facility Account _____________..___. Facility Credit _______________ Facility Total .--__.___h___. <br /> <br />E)(empt [] Yes [J No <br /> <br />How Determined Total Amount <br /> <br />-.--.---. .---- ----..-.--....-...---- <br /> <br />RESoTiRCEFEE .--.-------.--~--.--__W_._'A ERl.T <br />TOTAL AMoUNT S3 lit.{ q <br /> <br />...----... - <br /> <br />_._------._-----~---~--- <br /> <br />--.---.--------.---- <br /> <br />--...."....-~........-,...,...,-,....,....-'-..>;--,-:.--................-..--.-......-...-..-....,_...v.__._..___~ _.t.- __~..._..,__.."'_______~_ <br /> <br />Prepared By <br /> <br />Checl~ed By <br /> <br />-..._.. '---'~-._"- .,,_.._-~--~-_._----_..-._.._----- <br /> <br />-~.._--_.._-_.._.-.._-----..._--_._.._.- <br /> <br />NO GER'In:ICATE 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 /> <br />Acknowledgsll1ellt below does notlrnply acceptance of concurrence, but simply receipt of A copy of this form, placing <br />the building permit owner on notice of this assessment and the conditions of payment for same. <br /> <br />_..~._....__._-_.._._--~----_.__._--_..~.._----- <br /> <br />DATE <br /> <br />-----._-,---._,....._----_.._-_..~.._~ <br /> <br />fot S17L DATE -3/~l)_ BY RJ:~~~~~_.m_u____ <br />;' / /-7 ~;r..~)';=-:~r-, <br />(0 -7-~, .... ~ <br /> <br />RECEIPT NO. <br /> <br />