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<br /> <br /> <br />" <br /> <br /> <br />PASCO COUN)y, FLORIDA <br /> <br /> <br />--_......-.,~....~ ~ , .......-....-........-. <br /> <br />Permit No. :2 0 '.~ <br />Date Permitted <br />BlIllder Name/Owner Name (:Z~/lf v2U(2'-< _ ~V.J-"-~L:~~>control # '~'i;~;,>, <br />COllnty Parcel No. - .$7'-.) $.:~)L: t?i' ~Q:12Z'I;ld:L~;/JY{.L SnbDlv: C&,,"h.~..Ls1~tf~: <br />Adclress/I_o(;ation _... :.3:l:~L_3~:;_:~L__:>(; JiLdZ4--___~CLL_--.-h_--------.--. ____________. _____ <br />. . f--I' ~ ....' / <br />., . - (__F)) c' fj/ <br />ClassIfication/I ype of Use_--,.I--L--,~l2.&.'jL..~~-XL.lLJ21..JL-_________h______'_______----__hhh.._____ <br />TRANSPORTATION IMPACT FEE Rate: __________ Sq pt Unit: <br />Exempt [] Yes fA No Ilow Determined ______ ________________._________ <br /> <br />-. <br />. . "'->'L'l <br />,,; <br /> <br />--- ----....----...-...-..---.-..-.----- <br /> <br />Impact Fee Amount h-lt_Jd,.&.}).J./ __.h. .J1-:Cf.-h _"'~ Zone No, <br />.. ') /!-I,f. '~~) ~> <br />SCilOOL IMPACT FEE---&L_..~ - .- <br />Account (056) Sln[lle-Family Detached House <br />(057) Mobile Hom6 <br />(OB8) Other Residential <br />k9"2:3) C;ollectlon Fee <br />Exempt If} Yes LJ No . How Determined <br /> <br />PARKS A~jfrRECREATION FEE <br />Land Accollnt Land Credit <br /> <br />TAZ: <br /> <br />..~--....._-......--....-----.."'-"--...,_._- <br /> <br />Amount <br /> <br />$ <br /> <br />-~~---_..._~._-.,------ .,--- '-'~.----."._-._,-~..- .._- <br /> <br />--_._-~.._------------_..._--- <br /> <br />-_.._- -- "----_.. -.---------..-. .-..----- -, ~... <br /> <br />e-' ,.' //p ,- :) '" ) ) <br />.lL~ltl,..,A.,/.~-<Z:::t'.iJ2i..._i._'t.l~_4_&:....Js-/j:2lJd <br /> <br />i-- _______ <br /> <br />-~ <br /> <br />Land Total <br /> <br />Reclealion Il..ccollnt Hecreation Credit Hecreatlon Total <br /> <br />Zone <br /> <br />. '-'-.. -'----- --.--.. -".- ~"..- -----..---, -_.. --- ~'--..-.._--.. <br /> <br />'rOTAL AMOUNT ___~________________ '________ <br /> <br />Exempt I] Yes [I t~o <br /> <br />How Determined <br /> <br />-------~._-. .____.u_ ._________.__.._.__..._._____._.. ....__.___.._ _'_'_'_____._. <br /> <br />_._.._..~---,..._._,--,..,._._--~._.-._._-~---~~---..-.._-----'-~.._.~_._~------_.._~..._-,-~. <br />LIBRARY FEE <br />Land Ac;coun( Land Credit Land Total <br /> <br />.-._._~--_.__..._._.-._._---_._- <br /> <br />Facility AccolJnt <br /> <br />-.- .. ... --_.-.--...... "- .._----~,._-_.~ <br /> <br />Facility Credit ._________________ Facility Total <br /> <br />Exempt e--_J Yes [] No <br /> <br />,-------... ,-, ~~'...R_._~____ <br /> <br />Ilow Determined Total Amount <br /> <br />----- -....~------ <br />RESOURCE FEE <br />TOTAL AMOUNT .n---,2~~_d/l____________ <br /> <br />----------- ----.....-.. ......_--~._._-- <br /> <br />ERU <br /> <br />..-- <br /> <br />-..-.---.-.--. - - .~._..,.~--_.._- -~_. --'------- <br /> <br />.....-.. ~~-''''''''''''--''.''_'''''''''_'~','<Uo.............,....................._............_.. &. <br /> <br />....~-.......~~...... <br /> <br />......-..-.....------."""'"-......... <br /> <br />Prepared By Hn_____n_ ______________________ Checked l3y <br /> <br />II&. ...___...___..........__.__"........_ <br /> <br />---..~.__.. --.------- . -.....-...-..-.-.... .--....------______.v __..."-_.._ <br /> <br />NO CERflFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPEGTION <br />PER~ORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br />BEEN PAID AND <br />F~EGEIPTED FOR BY A CENTRAL PERMiTTING OFFICE OF PASCO COUNTY <br /> <br />Acl\l1owledgsflIBnt below does not Irnply acceptance of concurrence, but simply receipt of a copy of this form, plaelng <br />the bUilding pennlt owner on notice of Ihls assessrnent and the conditions of payment for same. <br /> <br />-~'-'-'--'''''--''-'''- "-' .-- ---.-----------. --..--.-.----------- <br /> <br />DATE <br />RECEIPT NO, ~~2;.\?_lLu__ DATE <br /> <br />----__.__m_..___._..._._ ..___.__..._,..._.._~__ <br /> <br />/rf. ' REC~ED ~; <br />1/';f~:L~ BYil1:IL~A~_ <br />