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<br /> <br />,/;;.:~: ' <br />1--7 :l/ <br /> <br />PASCO COUNTY, FLORIDA <br /> <br />---- ~. --,.........0..-..... <br /> <br />..... -------- <br /> <br />--- <br /> <br />. . <br /> <br />Pennlt No. f 80 I <br />Date Perrnllted-~, c 3 <br /> <br />Builder Name/Owner Name -0-Jlu.-V1~ )~-fJR I Z0N Control # <br /> <br />County PBrcel No, 3~~..;l.s:_;!._~_/)o I 0 - D;l,"'. J. TI S () SubD Iv: G'.'<"'l:!. .,JL_pt", .... i o...s <br /> <br />AlidressfLncallon _32(eL'i-~1PY'-',,---/ll/ e '___ _._~ <br /> <br />Classlflcallunllype of Use -LI1~ /)( 1~~M_e. _ ._____ <br /> <br />TRANSPORTATION IMPACT FEE <br /> <br />Rate: _________ Sq Ft Unit: <br /> <br />Exempt [] Yes ~ No How Determined _____ <br />. ~..o <br />Impact Fee Amount $ Il./ 0 O. Zone No. TAZ: <br />-----f'U::..g::~"___ --:-,==: <br />SCHOOL IMPACT FEE <br />Account (066) Single-Family Detached House <br />(057) Mobile Home <br />(058) Other Residential <br />J-11~3) Collection Fee <br />Exelllpt ~Yes 0 No Haw DBtermlned ____________ <br /> <br />----.----- <br /> <br />-------------.---.--- <br /> <br />Amount <br /> <br />$ <br /> <br />----.---.-----....,....-~_..'n..__.~__ <br /> <br />_._-_._._---_._----_.._...~-_....- <br /> <br />PA"Rl<a AND RECREATION FEE <br />Land Account Land Credit Land Total <br /> <br />----------.-----. ----- <br /> <br />Recreation Account <br /> <br />-----..--------.--.----- <br /> <br />-----------...- <br /> <br />Recreation Credit <br /> <br />Zune <br /> <br />----------. ---- <br /> <br />Recreation Total <br /> <br />._--_.._--~.-._-_. <br /> <br />TOTAL AMOUNT ..1_______~__ <br /> <br />Exempt [) Yes [J Nu <br /> <br />How Determined <br /> <br />ITBRAAYFEE-"--------- <br />Lalld Account Land Credit <br /> <br />'.~-----_._~----------_._- <br /> <br />.-..------ <br /> <br />--------------- <br /> <br />Land Total <br /> <br />.-- --'-.-.--..--. - ---------~. <br /> <br />Facility Account ___________ Facility Credit ________ Facility Total ._________ <br /> <br />_._~----_..-._---._--- <br /> <br />Exempt [] Yes [] No <br /> <br />How Determined Total Amount <br /> <br />--._~- ----- <br /> <br />mffi.J1lCE FEE" --- ERU <br />TOTAL AMoUNT ~1(f?0- --lfL . . . -&.~~'0 <br />-.-----------,,--_d--0-~~~ :.R(-t_ -2.:5f <br />Prepared By ____. _ _ _______.________________ CheGI{e~~=___________ . <br /> <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 BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> <br />Aclmowledgemel1t below does not Imply acceptance of concurrence, but simply receipt of a copy of this forlll. placing <br />the building permit owner on notice of this assessment and the conditions of payment for same. <br /> <br />DA TE----------------------- <br /> <br />RECEIPT NO. DATE BY <br /> <br />RECEIVED ay----------- <br /> <br />------ -.-------.- <br /> <br />.-.-_.-._------~ <br />