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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />----"""-~_.........../-.~ <br /> <br />........-......."'--., <br /> <br />~ ...'............~..........-.....lwo.<"'-'-....-....._..........~_~____,..4."'*"..~W/4.I <br /> <br />Builder Nallle/Owner Name JSell; fL.__tJq:SO{V_ <br /> <br />Permll I\lo. -.--r2~_'t8_______. <br />Date Perrnltted --.-S=-~_;::J23_ <br /> <br />Control # <br /> <br />COl/1I1 Y P a ree 11--10 - . il- _ ?- ~.~_ .:?Lc-.QP I () : ;;( L 3'00 -: 0/1 '!... Sub D Iv: ._.......... .--.__.w '."_ <br />Address/LoGatlon --SPE.__.! 7f:'o.._5L.._.__ w_..__. ..........___.._ <br />Classlflcatloll/Type or Use -..f2+_~ ~.__...._._.__.____..___ <br />TRANSPORTATION IMPACT FEE Rale: ______ Sq FI Unll: _.......__..._ <br /> <br />._-._~-_._-,-- ~.... .--------.--., <br /> <br />Exempt [] Yes []A<rO <br /> <br />How Determined <br /> <br />IlT1pacl Fee Arl1ountl______4__~_.~___ <br /> <br />--- -----.-----.-..-.~~- ..----..----. ._.__._h_.._...,.______,_._~,~__. <br /> <br />-_.'"'-~.---_._--~'--_..._~._------.:.......~_._.."-,---~~---_._...-~ <br />SellOOL IMPACT FEE <br /> <br />Zone No. TAZ: <br /> <br />---------- -_.-._----.._,..-.._----_._~- <br /> <br />ACcount <br /> <br />(066) <br />(057) <br />(058) <br />C.12:3) <br />[/ Yes <br /> <br />Single-Family Detaohed House <br />Mobile Horne <br />Other Residential <br />-.---- ..'.__.'h_______~_ _.." .y".._.____~_.. <br />C9l!ec~on Fee <br />Lj.-N'o How Determined __._.___ _______..______......____.. <br /> <br />Arnollnt <br /> <br />$ / Ltit.( . trV <br />---..--_....(/_ f!~_____... ____..___ .__ _____'_'___ <br /> <br />._"-~-.__.. _n____ ____ _.. __.._. '-'_,,'-_,,_._. __ <br /> <br />EX81npt <br /> <br />P'ARRs~ANfrRECREAru)N FEE ~..._--~--~-~__~~_._____._.._,_ <br />Land ACCOllllt L.and Credit Land Total <br /> <br />---~._---,- --_.~_._---,--. <br /> <br />-------~ <br /> <br />-- <br />ReGI eallon AccOJlnl..._..__... Heereallon ~u_ Recreallon Total _____ <br />'- <br />----- <br /> <br />--._-----'-~-----....---. <br /> <br />ZOlle <br />.--.--,- --..---. '-..-.- --.~-- <br />---- <br />--- . <br /> <br />~=~:::::~I_~~":~~~I'n::~=-==-=::.===_=== <br />LIBRARY FEE <br />Land AfjCUllllt <br /> <br />TOTAL AMOUNT <br /> <br />--.L__________.___.____ ___._.____ <br /> <br />.- ...-.-----,. <br /> <br />Land Credit <br /> <br />..am Total <br /> <br />Facility AccolJll t______ <br /> <br /> <br />--.----..----.--..,-..- '-. -'-- --- <br /> <br />EX6rnpt [-- <br /> <br />----------______ Facility Total <br /> <br />OURc"e FEE~~~--~---..~--- ..-..-ERiJ-.'---.--~~---a-..-%~.~--~ <br />TOT.. AM(}UNT .__~.~ ~__-.--------.----.---.---_..___ <br /> <br /> <br />l\,~._,______~.______,_____" <br /> <br />How Determined ________ Total Amoullt ____.___.__~_____'_ <br /> <br />...-...------..- ~.~..._.__.._--- <br /> <br />Prepared By .----______._________.___________ Checked By <br /> <br />----~--'~_._-_.,._-._---_._-_.._--,~ <br /> <br />NO GEHTIFICATE OF OCGUflANGY WILL BE ISSUeD OR FINAL INSfJ~CTI()N <br />PErU:ORMl:n UNTIL THE 'rOrAL AMOUNTS LISTeD HAVE <br />BEEN PAID ANn <br />RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> <br />Acknowledgemenl ualow doee nollmply e"eptence oJ concnrrence, but simply reoelpl of e copy of Ihls Jonn, pleolng <br />Ihe building pelmll owner on notice of this assessment and the conditions of paYl1lsnt for same. <br /> <br />-DATE----- -~------.-------.------------- n E CE IVE rj-- BY -- -- ---------- -..--~___ <br />RECEIPT NO, L&..wp'f,.). __ DATE \:-dLe.. ':.t2.':L BY Q~..-:______.._~_ <br />