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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />--____6 <br /> <br />---......,- <br /> <br />Permit No. ---L2t2.&. <br />Date Permitted .L::.a2..%.-D --~ <br /> <br />Builder Nama/Ownar Name ~042L (/~pt< ._ Control # ___:-;___ , <br /> <br />Coullty Parcel No. .:11'.<:2~/__-:J2e!i2 - O';::>,!'OL2 - ,Lz:tn. SubDlv: ~~""-_ QV~l';,<, <br /> <br />Ad(lrass/locallond1~ ..!;tJ~ L {",.. "- ____-'- <br /> <br />, CIBsslflGatlonlType or Usa ~~C7/-... ____~.___~ <br /> <br />TRANSPORTATION IMPACT FEE Rate: _____._. Sq Ft Unit: ____.__ <br /> <br />Exempt [] Ves (Rf No How DatermlnBd __._______.__.._._______.__.____ <br /> <br />Impact Fee Amount _.$___ !!./ %0-___ Zone No. TAZ: _.______ <br />'--i'~'- () .3 <br />-----.- ..._~ -' -L _.,...-. ... III __ _. _.._..~._ <br />SCHOOL IMPACT FEE <br />Account (056) Slngle.-Famlly Detached House <br />(057) Mobile Home <br />(068) Other Residential <br />\?1~3) Collection Fee <br />Exempt ~es (J No How Determined <br /> <br />Amollnt <br /> <br />$ <br /> <br />--.--------..----- <br /> <br />PARi<SANDRECREATION FEE-- <br />Land Account Land Credit <br /> <br />-._---------....__.~- <br /> <br />--.----.---.--- <br /> <br />Land Total <br /> <br />Recreation Account <br /> <br />-----_.~.- <br /> <br />._~_._-_.~- <br /> <br />Recreation Credit <br /> <br />----.-. <br /> <br />Recreation Total <br /> <br />Zone <br /> <br />._--.,_._~.._-._---- <br /> <br />TOTAL AMOUNT .-L___ <br /> <br />Exelnpt [I Yes [J No <br /> <br />liSRAAY F~E------.- <br />l!and Account <br /> <br />How Determined <br />---_._-_._---------_._.__...__._._--~-~_.__._--_. <br /> <br />-....---- <br /> <br />..---- <br /> <br />.. ---.-.---------.-- -'-_._-----~-. <br /> <br />Land Credit <br /> <br />_..~._-_._._-_._.- <br /> <br />L.and Total <br /> <br />Facility Account _____________ Facility Credit __ <br /> <br />_._~-_._.._-..._-~----_.------ <br /> <br />Facility Total _____ <br /> <br />Exempt [J Yes 0 No <br /> <br />How Determined <br /> <br />._-~- ------- <br /> <br />Total Amount <br /> <br />~t~~~I~~I~~~ -~ -:; &7;> -. ERL,==__~___ <br />-------------------.:21 ,~.-/3~-()"3 ..,., ;~9q-3. <br />;,~P:::~---.--'-~ "d(.v(~ , _ _ f <br /> <br />----.--._----------~ -------..--------- <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 />REGEIPTeU FOR BY A CENTRAL PERMITTING OFFicE OF PASCO COUNTY <br /> <br />Acknowledgemellt below does not Imply acceptance of concurrence, but simply receipt of a copy of this form, placing <br />tile building permit owner on notice of this assessment and the conditions of payment for same. <br /> <br />DATE----.----------- <br />RECEIPT NO. DATE <br /> <br />RECEIVED BY <br /> <br />---.-- ---..----- <br /> <br />BY <br /> <br />_._-----_.__.--~_._---- <br />