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<br />-....-- <br /> <br />-------....... <br /> <br />-...-...-........................_....w.............._.., <br /> <br /> <br /> <br />~. <br />~ <br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. <br />Date Permitted <br /> <br />( J~tJlIder NarlJ~/Owner Name -i:;2~-~.~_~;J~-?iH-___.__ Control # <br /> <br />Cuunty Parcel No. (~c-:~-i?.(€---gl----_~?t2L?2:...c.251~_ZJO-- f)?!;J.tl_ SubDlv: <br />Address/location --~222/f.__~!2d.~_ / ~;~:&!:fl:_____-,--__________ <br />, Classificatlon/Type of Use 1~~2:t3dMiLL~"/' .~ '-:4.?t..&L---L~1CM~t- 'I:Yd:- <br />-./ <br />,/ ''\ <br />TRANSPORTATION IMPACT FEE Rate: _______~________ Sq Ft Unit: -4 () vi), <br /> <br />E)(empt [] Yes [J No <br /> <br />How Determined <br /> <br />') . tr..) <br />Impact Fee Amount_l_.:._J';..f-,--1~-:-,____, Zone No. _________ TAZ: _____________ <br />- oj 'i . / -, to <..' 33 <br />sciT6'oCfMPAch .FEt----.......~..J~,..~------ --~--..._~._"_____.__._______ <br />Account (056) Slngle.-Famlly Detached House Amount $ ___.__...._________________ <br />(057) Mobile Hams __________.______._______.___ <br />(0513) Other Residential 1/...../';/.<) _______________._._____. <br />.JI2:3) Collection Fee I/J ( <br />Exempt LJ Yes [J Nt> Ilow Determined -------------------------___h___ <br /> <br />_.._~~-~.._----_._~--~-----~-_._-_._~---_._..._-~ <br /> <br />--~.....----.-~_._----------.._.--_.----_..- <br />PARI{S AND RECREATION FEE <br />Land Account Land Credit <br /> <br />-~.....~~ <br /> <br />---..... -----,-~- <br /> <br />- ~--~------,_..._- ~-_.._---_._...- <br /> <br />Land Total <br /> <br />Recreal/on ACCOUllt <br /> <br />-------_....._--~_.__...- .--- <br /> <br />Recreation Credit <br /> <br />Recreation Total <br /> <br />ZOlle <br /> <br />.-.-.. "~--'~--_._-_..- .....~."-~-~.. <br /> <br />TOTAL. AMOUNT_~___.__ ______ _____ <br /> <br />Exelnpt [) Yes [] No <br /> <br />nBRARYFEE~..-~-._.-.... <br />Land Account <br /> <br />I-Iow Determined ______________________.________________ __p__________ <br /> <br />.--..------.......-------..-------...---- <br /> <br />- .....---.-..----..------..- .-----. ---.--. <br /> <br />l.and Credit <br /> <br />-..-- -_._~----~.- <br /> <br />Land Total <br /> <br />Facility ACCOll/lt ______________ Facility Credit ____________ Facility Total .____________________ <br /> <br />~..-..--.--_~ ~_n_.~ ."__'__'_' <br /> <br />Exempt [] Yes [] No How Determined <br /> <br />RESOUR.C'E FEE---.'--'- J.--'L~.~'------- <br />rUrAL AMOUNT _J I ~ <br /> <br />--~---- <br /> <br />Total Amount <br /> <br />__.__'_'4'~'__ <br /> <br />--...--.- ERU ---=~2~_~~--_~. <br /> <br />-~_...._--._--~.._._---_.~_.._.__._~ <br /> <br />--.'..--.-..'.......--..--.-..-..-.0-...----..-.---.....--'--...----.----.---'-_.r....._._,~_,_._~.____._____ <br /> <br />Prepared By __ __ ___________________,___._____ Checked By <br /> <br />-.~-_._~_..-._.-._......._--._- -.. .'-'.--- ---------._~_._. ._-- <br /> <br />NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br />PERFORMED UNTIL THE TOT At AMOUNTS I./STED flA VE <br />8€€NPA(O AND <br />RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> <br />AclmDwledgemel1t below does not Imply acceptance of concurrence, but simply receipt of a copy of this form, placing <br />the bUilding permit owner on notice of this assessment and the condlllons of payment for same. <br /> <br />-OA-l"E --.----.---.-- ----- ----------------.----- <br /> <br />RECEIPT NO. DATE <br /> <br />RECEIVED BY <br /> <br />... .----_.._~-------_.._- <br /> <br />.------.------. <br /> <br />BY <br /> <br />, ~, <br /> <br />----.----..-------- <br /> <br />------------~.--------~-._._._A..____ <br />