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<br />\\\ <br />~A_"~" <br /> <br /> <br />I tf,:;l(~ <br /> <br />PASCO COUNTY, FLORIDA <br /> <br />..-..........;.--.----..........-- <br /> <br />Permit No. --.-llft!- ___ <br />Date Permlttecl-...L::..IL::.122L_ <br />Builder Nal11e/O~',!~Nall1e~.t...aul ill ~'W> Control # __.~___ <br />County F'areel No, 36!-~-r::.:,~~L-:6f2La~t1~>??}O- tL.L!!l-- SubDiv: ______________ <br />Adclress/I..ocatlon__.:!i 7j,,1.3___.n~ _~~______________________.__. <br />Classlflcatlon/Type of use____~n._ZZ.I~ -~)(e.~--.-__.__.____.___.__.____.___ <br /> <br />TRANSPORTATION IMPACT FEE <br /> <br />Rate: _____________ Sq Ft Unit: __.____-'--_ <br /> <br />E)cernpt [] Yes [25.r'No How Determined ____.___.___.______________________ <br /> <br />Irnpact ~~;~no~JI1t -~.~....6_.1~cL_____ Zone No. _______ TAZ: ____.________ <br /> <br />SCH6cJtTM~cfF~E --.----- --...-..-----. <br />Account (056) Slngle..Family Detached I-louse AmoLlnt $ ____'______._..__________ <br />(051) Mobile Home _________________________ <br />. (058) Other Residential _._.____ <br />. \.i)23J",Collectlon Fee <br />(,,-='::'~~~).~__23~~.~-JJ No How Determined __________________ <br /> <br />liARKS AND RECREATION FEE ---- <br />Land Account Land Credit Land Total <br /> <br />----.-.------.---------------- ---..- --------------- <br /> <br />ReClealioll Account Recreation Credit Recreation Total <br /> <br />. ~.---------- ----..----.---... ----- <br /> <br />lot I~~ <br /> <br />TOTAL AMOUNT ...~_____..__.____.____.____ <br /> <br />Exetnpt [] Yes [J No <br /> <br />TiSRARYF"EE- ,- <br />land Account <br /> <br />I bw Determined <br />---..-----.-.---.-.---_~_u__________.__....__. <br /> <br />..----.----...--.- ....... -.------__ w <br /> <br />----..---.,,--.. -_._---------~ <br /> <br />l.and Credit Land Total <br /> <br />---.----------.- <br /> <br />Facility Ar;coLJl1t ___.__.___.____.___ Facility Credit ___________ Facility Total_________.______ <br /> <br />-.---.......-- -....-.-.---.------.. <br /> <br />Exempt [] Yes [] No <br /> <br />How Determined Total Amount <br /> <br />---..-..-- ---.------ <br /> <br />RESOURCEFEE-- .cN-:t;;r-----. ERU <br />TOTAL AMOUNT ...., {) .. 7 <br />...---.-----.-.- . -.--------.- <br /> <br />__B___M_____.________ <br /> <br />---....,..._'~.._.-...,''''''._--'-~...,...-_.._,...--..-__.-.._-,-.,,_...._----------.....- <br /> <br />-~;.....;. <br /> <br /> <br />Prepared By Checked By <br />----- -... --.---____4. .----.---------.-------.---- -----------.---------.--.---R._____.;.;J <br /> <br />NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br />PERFOHMEU UNTIL THE TOTAL AMOUNTS LISTED HAVE <br />BEEN PAID AND <br />RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> <br /> <br />Acl<nowledgernellt below does not Imply acceptance of concurrence, but simply receipt of El copy oflhlsfpttl1i <br />Ihe blllldlng pennlt owner on nollce of this assessment and Ihe conditions of paynlent fof Slit11e.'" <br /> <br />(Jel) <br />DATE _n______ _ -- ~ - A typ)f.J e/ RECEIVED BY <br />RECEIPT NO, f2.()1~ 7_ 'DATE d!'-I~J BY <br />