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<br />------..... <br /> <br />------~...._, <br /> <br /> <br /> <br />"..- <br />., <br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. --1.- <br />Date Permitted <br />/7 / ... /.) <br />_C:=-"_~-,-:~2~Z;),L.- -J~2.J.?t;, , __ Control # <br /> <br />County Parcel No. (~2-=~!~Gz~_~"{i-:-'i~J.OLO ~-i:(;L)(r(>IG'~~_ SubDlv: <br />Ad(lress/L .ocatloll ---&.;-';<_11) _-l",l~~L~~~~___________ <br />, ClasslflcatlonlType of Use -L~=ld1~d~' ~4-64~~(~:2adJ <br />TRANSPORTATION IMPACT FEE Rate: ______-.:.._______ Sq Ft LJnit:-.:t....:J~Q______ <br />Exempt [] Yes ['\71. No How Determined <br />AJ _______________________________.________.__________ ____.__ <br /> <br />Impact Fee Amount ..1___::::?L~lt-:!'~~~t:____ <br />..;'\(.{ /-1$S.-{'.3 <br />----'-------~.__t.....;;;..... __._...--...______ <br />SCHOOL IMPACT FEE - <br />Account (056) Slngle.-Famlly Detached l-louse <br />(057) Mobile HOl11e . <br />(058) Other Residential IVI! <br />J123) Collection Fee <br />Exempt L_J Yes [J No How Oetennlned <br />-------:-~_._.._~._-~._----_._---_.__._-- <br /> <br />~~...-_._----_rw ...... "'_'._..._.. <br />PARf<S AND RECREATION FEE <br />Land Account Land Credit <br /> <br />Zone No. <br /> <br />--.----- <br /> <br />TAZ: <br /> <br />---_.._._-_._--~-. <br /> <br />_'J ____....__~..... ........ ...............~_'_.._._..___...__ <br /> <br />Amount <br /> <br />$ <br /> <br />-_._._,.~----~.-...._.-...._._..~----_._-- <br /> <br />.-.----.-.-----..---.-.---...-.---.-- <br /> <br />--..-'------------_.__.~ <br /> <br />-------- <br /> <br />----.-- ---------.-----.------- <br /> <br />Land Total <br /> <br />Reel eat/oil Account <br /> <br />-----.----..--- <br /> <br />--..-...---.----.---..- <br /> <br />Hecreatlon Credit <br /> <br />Recreation Total <br /> <br />Zone <br /> <br />TOTAL AMOLJNT_~_______________________ <br /> <br />Exelnpt CO] Yes [j No <br /> <br />110w Determined <br /> <br />ITBRARVf-EE"'-'---'~----"-- -- <br />Land Account L.and Credit <br /> <br />----_._--------_.._._---~._._._-_._-_._--_..._-_.._-- <br /> <br />------.-...--.".--.....-...,--.------ <br /> <br />--------------- <br /> <br />Land Total <br /> <br />-.--. -.'-"-"- '---'-'-. "-'-.-,-", ---. <br /> <br />..._------~._...~_.._..- ---_._~ <br /> <br />Facility AccoUllt __________________ Facility Credit <br /> <br />__ Facility Total ._____________ <br /> <br />Exempt [] Yes [] No How Detennlned . __ Total Amount __._______ <br />-. V <br />RESOUR.C.EFEE-~.r(7-7. .V:;::::-______ ERU_:_=~' / 6 <br />TOTAL AMOUNT I -/ cCJ <br /> <br />.._-'"._----_.__...~.._--_.__.__.__.._..._._- <br /> <br />--".,._'-...........-....,,,..._<...._._..........---,-....~..__..~.......--.-.-..-.......---'--.."'-....-....--I<'..-.--"'--..-.--...........-----.__r__.._...~......_ <br /> <br />Prepared By ________________________________ Checked By <br /> <br />-- -_._--_._-_.~---_.._---_._----_.- <br /> <br />NO GI:RTIFIGATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br />PERFORMI:D UNTIL THE TOTAL AMOUNTS LISTED HAVE <br />BEEN PAID AND <br />RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> <br />Acknowledgement below does not Imply acceptanc;e of concurrence, but Simply receipt of a copy of this form, placing <br />the blllldlng permit owner on notice of this assessment and the conditions of payment for same. <br /> <br />--_.._-_...__._-~_.._- ------..----.-....-.----..- --..---. <br /> <br />DATE <br /> <br />RE C E IVED. BY---------------------.--- <br /> <br />RECEIPT NO. DATE BY <br /> <br />.--------- .------ --_...._--_._------_.__.~--_._-,-~._----- <br /> <br />- <br />