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<br /> <br />f~l <br /> <br /> <br />PA'SC-O COUNTY, FLORIDA <br /> <br />-.----.----..--......'.-.--.-.----~...-.....-..-~.- ..---~'-."..--...._-_..-~.-~-....-.....oo...~.......,~_. <br /> <br />L '" ,.) <br />F)enn!t No. _..__ .-E~<~J{_.._____ <br />Date Permitted ~~-:..I.1.--'L._Q.3_ <br /> <br />Builder NsmelOwller Name _ (~~~.L. Control # .. _'___.___.___ <br /> <br />r.:"""ly I'arcel No, ":1f.:2/i~~~L=,LQjt) =.P ~(:L SubDlv: W4a.-mK'J2~ <br />::7 \'---n /2:0 7: " t7 <br />AcjcfI8SS/I.ocatioll -:::::;L2.Z8.il_.-/_~~~.,_____.____________._. <br /> <br />ClasslflcallolliType of Use ---.~~2.&.-~ "__ <br /> <br />TRANSPORTATION IMPACT FEE Rste: Sq Ft Unit: ____..__ <br /> <br />Exempl [J Yes t;ti' No How Determined __.,_____________,__._..,.___,___ <br /> <br />t~ t.' <br /> <br />Ilnpact Fee Amount j---L~go_~__.__. <br /> <br /> <br />-.------_,._ c:! .-;O...:Q2_,_____~ <br />SCHOOL IMPACT FEE <br />Account (056) Single-Family Detached I'louse <br />(057) Mobile Home <br />(058) Other Residential <br />\..}{"23) Collection Fee <br />Exempt ~ Yes IJ No How Determined <br /> <br />PARKS ANDRECREA TION FEE ----,--- <br />Land Accollt1t Land Credit <br /> <br />Zone No. <br /> <br />TAZ: <br /> <br />---.----- <br /> <br />------.-.-----.-.- <br /> <br />......_....--.,----.._~- <br /> <br />Amount $ <br /> <br />------.._~---_._.._._----~-._- <br /> <br />--------.-..--- ...--..---.---...--..- <br /> <br />---------..---...-.---.-- <br /> <br />----.--- <br /> <br />---._---..__.~._-- <br /> <br />"----~--- <br /> <br />Land Total <br /> <br />----.----..-------.. ----.--- ----.-..----- <br /> <br />Recreation Account Recreation Credit Recreation Total <br /> <br />Zune <br /> <br />-------. -~--. --.--- <br /> <br />- '--_.__._.__.._.~.__._-. <br /> <br />TOTAL AMOUNT ._~_...____._...._______ <br /> <br />Exempt [I Yes [J No <br /> <br />How Determined <br /> <br />IiBRARY"F-EE-------------~ <br />Land Account Land Credit <br /> <br />-----_.._..__.._--_._------~._+_...._---_._--_._.._._- <br /> <br />-~-'""""_._-...._._~._-_._----..~---........- <br /> <br />----.--.-----.-.-- ___.h_..____. <br /> <br />Land Total <br /> <br />Facility Account _______.__.~ Facility Credit <br /> <br />~--"--_..__.__.- <br /> <br />..--------... .... -. .....-..---- <br /> <br />'___'__ Facility Total <br /> <br />Exempt [] Yes LJ No <br /> <br />.-.---.-.--...--------. <br /> <br />How Determined <br /> <br />Total Amount <br /> <br />.-..-- -------.--.~._------ <br /> <br />-RE-SOU'--R"C-E FE-E-.----.---~-,.- -----..-----....".w..---ER-t-,J __._______ <br /> <br /> <br />TOTAL AMO U NT ..__.j 2~2_~=___ '__ ________.___.___________ <br /> <br />-_..,.,.._...._.."...,~...'"'_..._.._.._-,-"..__._..._._-_..._._--_.._.,-_._~._,.._..._-_._.,-~._._._----_.~.~--_..--- <br /> <br />Prepared By .---...___...._____._____._._._.____ Checked By <br /> <br />-----.------..-------.-.-----.--,--- <br /> <br />NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br />F'ERFORMED UNTIL THE TOTAL. AMOUNTS LISTED HAVE <br />BEEN PAlO AND <br />RECEIPTED FOR BY A CENTRAL. PERMITTING OFFICE OF PASCO COUNTY <br /> <br />Aoknowledgemellt below does IIot Imply ece.planoe of concurrence, bul simply 'ecelpl of a copy of Illls form, piecing <br />the building penlllt owner on notice of this assessment and the conditions of payment for same. <br /> <br />_.__.__._-_.~--_._~-------_..- <br /> <br />DATE r J..-I <br />RECEIPT NO. ~fi.~ DATE 3.ff~. <br /> <br />-REC~BY----~-- <br />\. ' <br />~ <br />BY ... '()j\..A../ <br />- -~------,_.- <br /> <br />