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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />-...-,.....-....--...-....---.............. <br /> <br />....--............- <br /> <br />Permit No, c2 / ??,1' <br />~--_.______~_"l_"____ <br />. Date Permitted ~.4.a--:502.3 <br />/, Vi / ';7'/ ' - <br />Builder NamQ/Owner Name _\2:- ~.~~~.~ Control # .~______.______ <br />Cow rly Pamel No.$:i=~,Q~ _dL:L>QI-I.L:c>>2fl;" L.7/dJ BubDlv: ~.o.mL'Q];{~ <br />Address/Location __ -3.__76 Q2-Q------:.x:~j/ALt<t.-_*_4--.:.--~-.--.----_____ -______n______.___ <br />Classiflcallolll1-ype of Use (=-"-22 ?k!U~-~:;2i~____________________.__n__.__ <br /> <br />TRANSPORTATION IMPACT FEE Rate: __n_________ Sq Ft Unit: ________.______.__.. <br /> <br />Exenlpl [_J Yes [iN 0 How Determined ---------h------___.__._._____.._____n.__.___ <br /> <br />Impact Fee Amount -lJ~lQ-p.3~(_ Zone No, ____________._ TAZ: ____________ <br />!e._:-g () ().3 _~.__~ __._~______~__ <br /> <br />SCiT60i IMPACT FEE <br /> <br />Accuunt <br /> <br />(056) <br />(05"1) <br />(058) <br />\ 1_~.'II'J 3) <br />\;rYes <br /> <br />Single-Family Detached House <br />Mobile Home <br />Other Residential <br />Collection Fee <br />[J No How Detennlned <br /> <br />Amount <br /> <br />11' . _._._-- <br />'I) _____.____~;;-~:~:~ __ ._______...__ <br /> <br />-.......,<.-.:::..._----------_._-- ....- <br />-~ <br />- -- ----------------.---.-..----.-.--- <br />,--- <br /> <br />Exempt <br /> <br />--_.._--_..__._-_._-'---_.__._------..-._------~..-. '-.'- _._~------ <br /> <br />PARKS AND'RECREATION FEE <br />LSlld Account Land Credit Land Total <br /> <br />-------- <br /> <br />- - "'~"--'-~ ..---.--- <br /> <br />---.__ .."h____.-._.____.__.._. ,._...__ <br /> <br />r~ecreation Account Hecreation Credit <br /> <br />,.____..~n_._____.....___..._ ________ <br /> <br />r~eGreatl(Jn Total <br /> <br />Zone <br /> <br />TOTAL. AMOUNT .h..~____u______________._____ <br /> <br />Exempt rJ Yes [] No <br /> <br />. How Determined <br /> <br />--..----.------. ._----.~._. .-- ---~ -.---...- --.---. <br /> <br />-.."-.~_.--..--.---_.......-..~.......--......................-..............__._.M...........~~.~....,............................._.............-...-........."___......._-..-......_...............~~_..._.................._.___........__............" <br />LIBRARY FEE <br />Land Accounl Land Credit Land Total <br /> <br />... --..._..----....._-_._~ ---- ...~- <br /> <br />....-..-- ..'--....- .. ._.._....,~_._-~ <br /> <br />Facility AcGoul1t__._______________ Facility Credit __._____.___________ Facility Total <br /> <br />.-_____...R__._._._.. <br /> <br />Exempt [] Yes I] No <br /> <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />Ilow Determined Total Amount <br /> <br />--.----- -----.-..----.----- <br /> <br />ERU <br /> <br />_._~._.._--_._'---_._-_..._--._.-._-- <br /> <br />".-------.---. ._--..---_.~-._~-----_.._- <br /> <br />......._..~,.'"-_..._..-"-'.._...~............-........,....~_..............----..--........----~--.......-- <br /> <br />....~--...-.... -~ <br /> <br />Prepared By __h_____ ___..._____________________.__ Checked By <br /> <br />-"-"--" .--------- ..---.-.-._._..__.4__.~..____.__...___ ..._ <br /> <br />NO CErnlFICATE OF OCCUPANCY WILL BE ISSUED. OR FINAL INSPECTION <br />rERPORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br />BEEN PAID AND <br />REGEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> <br />Aclmowledgernent below does 1I0t Imply acceptance of concurrence, but simply receipt of a GOPy of tills form, placing <br />Ille building permit owner on notice of Ihis assessment and the conditions of payment for same, <br /> <br />------..----.. - -~--~ ..---- .-.----..- ------_._~._---- -.------.. <br /> <br />DATE. ~. nECEIVED BY <br />RECEIPT NO. 0!1:)R!!(_ DATE~//l~)_ Bydll'~_____ <br /> <br />------_._---~,.-- -- --..--------.---------..----. <br />