|
<br />.
<br />
<br />
<br />PASCO COUNTY~ FLORIDA
<br />
<br />,......._-
<br />
<br />Perrnlt No. .;:115:L
<br />...._..~-.,--_._-..,- ..--., '...-..--..-------
<br />Date Pennltted .L=.&~t2:3._
<br />; .
<br />. tl .~'
<br />Bnlld., Nofllb/Rwnb' Name" Y/u",d (l~... Control # ___...._._.._._.~::_.__..
<br />Cnnnty Polcel No. .,11/ :gL:t2L :I:c'{.'//!:..-I ,':;;(tf:J :.!L22 SubDiv: l.1.h~Q/~
<br />
<br />," , , L
<br />l....' ) //
<br />Add res t:i/Lcll;i;j lion .=...2 'j,j ':J 1.-,/!{~ /7111 (..4CL_....__ _.'_.____ ..... __...'._.___.,._____._.
<br />Classificatiollll'ype of Use ~?22 ~'~J.,_~.lLL.__,._______.__."._. _". ...______,,_.,., '...._..._....
<br />
<br />TRANSPORTATION IMPACT FEE
<br />
<br />Rate:_.._._.._____,_ Sq Ft L1llit:
<br />
<br />Exelllpt ['j Yet;; 'h1 No How Determined _'___.._.._____._,.____.___ "__.._....,.,......_
<br />
<br />Impact Fee Amount ..$ ..--L!Lll.1,~J"I._.. Zone No. __________ TAL:: _.__..,_..__, "_'.
<br />- (j, It., LJ "2
<br />SCHOOL IMPACT FEE -
<br />Account (056) Single-Family Detached House
<br />(05'1) Mobile Home
<br />(058) Otller Residential
<br />
<br />Exempt \~~':2s rj~I.~~on F~70",,[)~Ja'lftln"d ___ _______ _.___________ ... .....___
<br />
<br />PARI(S AND RECREATION FEE
<br />Land Accollnt ....____, Land Credit __________ Land Tqtal
<br />
<br />---.-.- - ----.---.-...-. .----....-.-..
<br />
<br />Anlot.mt
<br />
<br />$ ,.'
<br />-----=-:~:=~~-~._- .
<br />
<br />."
<br />----_.._..-~-.-._----...-...._..~._,.-.....-.~._._._-.
<br />
<br />-~- .----,..-- .. ---~~...__."......,_.,--_.-,--_._,~.
<br />
<br />Recreation Account F<ecreation Credit Hecreatlnn Total
<br />
<br />'--'. --~-- -._-.."- ."-..-- ...-- -'--- -- ~- -..- - '--' -..--....--.....+-----.....-.--.-
<br />
<br />Zunc
<br />
<br />... -..-..------.--...--.. --..-..-.
<br />
<br />'I'C>TAL. AMOUNT ..~___._..._........._...
<br />
<br />EX8rnpt '--I y~s fJ No
<br />
<br />L1i3-RARi FEE-------
<br />Land ACCOlHlt
<br />
<br />How Determined
<br />
<br />-.-..-------..-. ~.__.._..__.._---._- .... --'-'-'--, -.-- ...-.-----.----......-- -....
<br />
<br />...... -............---...........---.-.
<br />
<br />.....~ --'""--...--.--..-
<br />
<br />Land Credit
<br />
<br />_.._--_.-._-_._~-~--.--~--
<br />
<br />L.and Total
<br />
<br />Facility AccOllllt '...
<br />
<br />--- ....-...--. '-"-.+. '._.. ..__n....._ ..._...._ '_.
<br />
<br />'- -'. ~--+.-"---~--'--"-'" ....-
<br />
<br />Facility Credit ""_"_"__ __'."'___ Facility Total
<br />
<br />Exempt l]Y&iS I] No
<br />RESOtJ RCe-FEE------------
<br />TOTAL AMOUNT
<br />
<br />H_._....____...., ._..~..~__.__,~._.._
<br />
<br />Ilow Deterrnined Total Amoullt
<br />
<br />._.._--_...~_..._-- ------"_.-.__._..~.~_._~.
<br />
<br />ERLJ
<br />
<br />--.....--...........-.---..----.....
<br />
<br />~._--_.__.._-~.- -._.__._--~.- .----.~~---_._-~
<br />
<br />..---_._._----.-.~._... --.--p.-.----...-.....- ._~-
<br />
<br />~~."..,._._-_.....__......~,.._..~..
<br />
<br />--..-..-------
<br />
<br />---"- -~~
<br />
<br />-4__
<br />
<br />Prepared By __.'__L, .,..
<br />
<br />-. - .-.--- _._,-- .---.-.- '..-- .---..-----
<br />
<br />Checl<ecJ By
<br />
<br />---.--'--.-__h._..__..._.___~_.. '__.. _._"__~_..'"._.._._
<br />
<br />NO CERTIFICATE OF OCCUPANCY WILL Bl: ISSUED OR FINAL INSPECTION
<br />PERt:ORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
<br />BEEN PAID AND
<br />REGEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
<br />
<br />AGI;nowlbdgernenl bblow does lIolllllply acceptance of concurrence, but simply rbGelpt of a copy of thlt:! form, placlnu
<br />tho bUilding pannit owner on noticE! of this assessment and the conditions of payrntlnl fur same.
<br />
<br />-.-----.-... -__ __ 'h'._"_,__,,,~__,_, . ___ __ __".'__._..__. ________.
<br />
<br />DArE
<br />
<br />-"r<ECElv"ED 'Sy--' '.-....-_.u__._____
<br />
<br />RECEIPT NO, " L .. l(,:.\'I,) DArE' L.. \... ( ) '\) ". BY
<br />~d.____.i _, ,_ _'_____~___
<br />
<br />.hi Ll. },_, ?\~!:(=.,.,___.. _...., .,_'__..
<br />
|