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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />..........- <br /> <br />Permit No. -_.,;?~:i'~___ <br />Date Pennltled --:'Z:-....d~L:-LL~_ <br />Builder Nalllel,tiwner NamJ. iLi&.~___ Control # . ___.____. '~__.__ <br />Counly Parcel No. ..If:~,:,- ~ :2!:t2ilL12 :.l2<R~jJO'-<I;Z-'2h SubD!v: '~J.. ~ <br />Address/Locatlon ---,~-':'lfi""-.dk_ ,~~~~.__.. ______________.__ <br />Classificatlon/Typs or Uss (::::2J.:J~Qi"-nu' __._~._____.___._ <br />TRANSPORTATION IMPACT FEE Rate: __._________ Sq Ft Unit: _____._.._ <br />Exempl [J Ves 'btNo How Determined ~_'_'___'_'___"_'_,____,_,_ <br />Impact Fee Amonl1t.~._4:'/J?L2ir.zj! Zone No. TAZ: .___.....___.. <br /> <br /> <br />----.-- _._,7'bJ..3-o"~ .____ <br />SCIIOOL IMPACT FEE <br />Account (066) Single-Family Detached HOl/se <br />(057) Mobile I-lame <br />(058) Other Residential <br />\ ,l",lJ3) Collection Fee , <br />Exempt "M Yes rJ No Ho~.[~e.tennlned __________.____.____.__.____...__ <br /> <br />Amount <br /> <br />$._- <br />~--,--~.:-~-=--...::__...- ~._-_."-----~_._. <br /> <br />-----._.._----_...._._-~---_.- <br /> <br />--__.n____~_____.._____ __. ..____~____~ <br /> <br />'PARKS AND RECREATION FEE <br />Land Account Land Credit Land Total <br /> <br />~------ <br /> <br />-----.--.. ,.-...---- ........._~--.- <br /> <br />Recreation Account Recreation Credit I~ecreatlon Total <br /> <br />--.-.--.---.-----.....-..---- <br /> <br />Zone <br /> <br />.-~-.--.-..._____n..__ <br /> <br />TOTAL AMOUNT ...1____ ....._.___ _..__ h_._ <br /> <br />Exernpt [J Yes [] No <br /> <br />How Determined <br /> <br />------..___.._M_._____..___...______... --.-...-.---.,-.........--._.'....__n__. <br /> <br />L1B'RARY FEE,.---.-----..~.u <br />Land Account Land Credit <br /> <br />....----....--- <br /> <br />------------- <br /> <br />Land Total <br /> <br />----- ._---.-.._._----_.~---. <br /> <br />Facility Account__.._.__________ Facility Credit _____________._.___ Facility Total <br /> <br />-..--.-.~----,--.- ----._.._..M_~___ <br /> <br />Exempt [] Yes [] No <br /> <br />.----_._-~ <br /> <br />How Determined Total Amount <br /> <br />_M_________ _____.._.__..__.__ <br /> <br />RES6TIRC'i~ FEE-- <br />TOTAl, AMOUNT <br /> <br />~"""""'--""""""""'''''''''''''''.' <br /> <br />ERLJ <br /> <br />-~--_._---- <br /> <br />...---------. ..--.--.------..---.-.-- <br /> <br />- -------.--._ .~._m .__~._.____ ___'_.'__ ---. <br /> <br />-,..--.......__.---..._----....._.......-...-......~,_....... <br /> <br />----.....--...---.........-~ <br /> <br />Prepared By __....________.___.____.___~___ Checked By <br /> <br />~_._..._-_._-_.__._-~._..._~------_.._.._..- <br /> <br />NO CEHTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br />PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br />BEEN PAID AND <br />f~EGEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> <br />Acknowledgement below does lIotlll1ply acceptance of concurrence, but simply receipt of a copy of Ihls form, placing <br />the building permit owner on notice of this assessment and the conditions of payment for same. <br /> <br />RECEIPT t~o, <br /> <br />~ (-{; '7 t7IiJ DATE <br /> <br />------".--.--. - "'--..-- <br /> <br />/ /:; REc.'i.'.v . Eff_~//-;--------- <br />(J ( 6 7 BY <~o~' <br />. 2____.___ _"'... ~_-...--:_._._._.. <br /> <br />~_.'--.-___.____' h __._,. __".~"_'_~'__ _ _'_. ._. _.____._.___.__..____ <br /> <br />DATE <br />