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<br />~ <br /> <br /> <br />__ 'l.. <br /> <br />" <br /> <br />PASCO COUNTY, FLORIDA <br /> <br />--_---:.._- ..... <br /> <br />----..---.----- .........-.. <br /> <br />Permit No. / fl;;z 9 <br />Date Permllt~a--'/D -p~ <br /> <br />Builder NSllle/Owner Neme (~_~~-L~I L$. Control # __~,_ <br /> <br />County Parcel No. ':J!!I-,;/.iL~.-.;?J-::-.Dl)j1L:V~-q~,5-SllbDiv: ~-auL ~~ _ '_) <br />~/} -=v / . .. '/7 zJ1".::f,.':I,>';2:;fbJ1- <br />Ad,11 eS5/1..OC811011 sS.2kjL<;L'Ltb..l(H~I';>Q_'..~__-',-,--,__,_,_______ <br /> <br />Classlflcatlon/Type of Use -S-2"21~_S. . ~.__.____.___________.____.__ <br /> <br />TRANSPORTATION IMPACT FEE Hate:__________m_.H... Sq Ft Unit: ___.____ <br /> <br />Exernpt [I Yes [~No How Determined -~---__H____________.._.___.________..____..__ <br /> <br />Impact Fee Amount _1_ ~ /f./?iL___ Zone No. _______.___.__ TAZ: ______._______ <br />"?IL <--2 '-IV - 0''30 <br />SCHOOIIMPAc1f m-----~~----'m <br />Account (056) Single-Family Detached I-louse <br />(057) Mobile Home <br />(058) Other Residential <br /> <br />Exelnpl ~~~S [~]s~~on F~ow Determined _~______.,.________.. _,_,_, <br /> <br />PARKSAND RECREATiON" FEE -------- <br />Land Account Land Credit <br /> <br />,..~..._-"......_..._-~.......__._....-......_-"'-- <br /> <br />Amount <br /> <br />$ <br /> <br />--..-.-.-.. '~__4___.___~_"_.._.... .__.__.__~._..__ <br /> <br />-.---.-.---.-----..-.-.------.--- <br /> <br />------------.-.----.--.. <br /> <br />--"''--'---.. <br /> <br />Recreation Account Recreation Credit Recreation Total <br /> <br />-------------.----- ---...-.- ---~_._._--~._.P._-- <br /> <br />Land Total <br /> <br />Zone <br /> <br />. -...-------.. -- -.--------- -_._-~._~-- <br /> <br />Exelnpt [] Yes [] No <br /> <br />TOTAL AMOUNT ._~_.______.______..___.. <br /> <br />T:iBRARrnE-..~.'-.-..-..,-----..---~-------------"-___.____._._____"___.._.._ <br /> <br /> <br />Land Account L.and Credit L.and Total <br /> <br />110w Determined <br />---~_._----_._---_._--_._..__..~.__._--_.__.__.__..._---_. <br /> <br />~ -- ,.. ....-.-...-..-..-. -----.------. <br /> <br />~-- -----_.._~--- <br /> <br />f=aclllty Account ._._________.____ Facility Credit __________ Facility Total .__.,___._ <br /> <br />-.---------.. "-.--------.---. <br /> <br />Exernpt [j Yes [] No <br /> <br />How Determined Total Amount <br /> <br />----...-- -.---------- <br /> <br />RESOUR-CEFEE-"'---'~---'-'----'---------,_.- ERU <br />TOTAL AMOUNT___!5 ~.:._3 :C__. <br /> <br />--- <br /> <br />_._-_.._-----_.._....-._--_._~-- <br /> <br />-_.~....._,............_,.'.,_.,......,-,_._....:_.......,_......._.._._..__._._------..-------.-..---.......... <br /> <br />Prepared By .u_______________.____.__,______ 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 PAID AND <br />REGEIPTEU FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> <br />Acknowledgement 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 conditions of payment for same. <br /> <br />::::'PTNO- (o~!fi~-DATE ~2/!j12- BY'dt:~=~=~_:~::== <br />