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<br />.. <br />, <br /> <br /> <br />.. .-. . <br /> <br />PASCO COUNTY, FLORIDA <br /> <br />.. ""-..- <br /> <br />Permit No. --.--..12...;;L'Z_______ <br />Date Pennilled J.2..~2.~ t!2L <br />.;L~~r "~lnelO\vller Name Wo/ ~. (?d7IiC. I~.. Control # ______..._ <br />CQunty Palcell'~(). /ff.._'2?::/'2'2 ~aQL1!.:.a!L~'){.) -- ~)D!-D __ SubDiv: ____________.__.._____ <br />Aclclress/l.ocatioll .-/itJ/y/,2. 3.-.i.lL..0 <' fl!. "..c .LtJ~ ._...______._. <br />Classiflcatlonnypa of Use _ ..~/U!... .,g&L;;;<.._ ____ __.._ _'_."_ .,..._._.. <br /> <br />TRANSPORTATION IMPACT FEE <br /> <br />Rate: _______.:.....__ Sq Ft Unit: ----J~.i)()Q--- <br /> <br />Exempt [J Yes fA No How Determined _______________________._____________.___ <br />Impact Fee Amount _L~ c~5~_~=___ Zone No. TAZ: ___._.__.______ <br /> <br />.SCHOOL IMPACT FEE <br />Account (056) Single-Family Detached HOl/se <br />(057) Mobile Home <br />(058) Other Resldtmtial <br />k1;}.23) Collection Fee <br />Exernpt ~ Y tiS fJ No How Determined <br /> <br />PARKS AND RECREATION FEE <br />Land Account Land Credit <br /> <br />~..- <br /> <br />.....--... <br /> <br />Amount $ <br /> <br />----'-.-.._~..~--,--- '-'-_......_'"--'"...._,~_.-.'" <br /> <br />--------'..'-..'------..-.-.,.,.---,--.-----. <br /> <br />II / /) <br />~-U-"l<~/~~~(I~JduH_~L:...J(...-______ <br /> <br />---'_._-_._--'~---,._,~-..._--_._,--- <br /> <br />Recreation Account Hecreation Credit Hecreation Total <br /> <br />--------.--.. '-'--'-'-' ------ ---..--- ---___h___~.___ <br /> <br />Land Total <br /> <br />Zone <br /> <br />'..-..---.------......-,- -------..-,--. 0._---'----..-...----- <br /> <br />."-----_._-----,. <br /> <br />TOTAL AMOUNT .-~--.----------~--_u_______ <br /> <br />Exempt [] Yes [] No <br /> <br />How Determinecl <br /> <br />LIBRARY FEE-- <br />Land Account Land Credit Land Total <br /> <br />-----~-_._"...,._-----~._-----_.,--_.._---"..._--_._.- <br /> <br />Facility Account _._.-._._.. Facility Credit ~_._.__,_ Facillly Tolat ..__._..._.. <br /> <br />-----... ...".------.--- _u__________,__ _____'____________._..._________ <br /> <br />Exernpt <br /> <br />[] Yes [J No <br /> <br />How Determined <br /> <br />RESOURCE FElf <br />TOTAL AMOUNT <br /> <br />-.---------. <br /> <br />Total Amount <br /> <br />. J -, Cf7 ~~ . <br />--11------.---------- <br /> <br />----'--.-.------~ <br /> <br />ERU <br /> <br />'- <br /> <br />--------'--_....-.,'-----~-- - -.~--~- <br /> <br />--..~-~ <br /> <br />Prepared l3y -----.---------------___u____ Checl<ed By <br /> <br /> <br />-----..-----'.--.-.----..,--....-------.-....,...--. <br /> <br />NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br />PERFORMED UNTIL n-fl: TOTAL AMOUNTS LISTED HAVE <br />BEEN PAID AND <br />RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> <br />below goes not Imply acceptance of concurrence, but simply receipt of a copy of this form, placlno <br />building permit owner on notice of this assessment and the conditions of payment for same. <br /> <br />------.----- <br /> <br />~2l!i DATE <br /> <br />.1/>>/4- BY 1~:1~:~!~~=--- <br />