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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />~"'_....._...~"'*-_.....-- <br /> <br /><.,I A 0 11 ' <br />BuilJer Name/Owner Name /....) J\c\..~l{\ t+~tL;l-n\ <br />--'_._.__._._------_._-~ <br /> <br /> <br />County Parcell'Jo, ,---,_ 'I --~.s=:-.lJ.d:lC!L_C" 0 DC! J l'__ S~bDiv: 1::1.-A_.!~Il_:tJ_Q.'!' I l 'O~" <br />O' r..' 0, . 0 /,oT91 J <br />Address/I..ocatlon -----2-1~~(.!i_~,tT~~:d~11~'S._~____..______._____._____.____.___ <br /> <br />Classification/Type of Use ------/~14~__L~l~.JJ,.Q_~~_,Q... .________________________________ <br /> <br />Permit No, ,;(c25 I <br />Date Pennltted-.~~-V~-L'~ ]'-= <br /> <br />Control # <br /> <br />-_._---,_.._-~_._--- <br /> <br />TRANSPORTATION IMPACT FEE <br /> <br />Rate: Sq Ft Unit: <br />--.--------"-. ----------.--- <br /> <br />Exempt [] Yes [J-oKlo <br /> <br />How Determined <br /> <br />~- --------- - ---.--'--- ."-_.__._._---~. ~- <br /> <br />I Lf' f ((' '[ " <br />Impact Fee Amount -l-_____L_ D.fl..:..._=,__ <br /> <br />Zone No, T AZ: <br /> <br />--------- --~----._,.__._.._~_.- <br /> <br />sCiiOOL IMPACT FEE <br /> <br />------.-..--...- <br /> <br />Account <br /> <br />(056) <br />(057) <br />(058) <br />1. '1.23} <br />[_J-Yes <br /> <br />Single-Family Detached House <br />Mobile HOIne <br />Other Residential <br />Collection Fee <br />[J No How Determined <br /> <br />Amount $ <br /> <br />--.--*.-..- --------.---......-..--------. <br /> <br />---.--.---.'.--------.,..-----..-..-------.. <br /> <br />Exelnpt <br /> <br />---_..._..~---_._------....- <br /> <br />PARI<S AND RECREATION FEE <br />Land Account._._____.__ Land Credit __-=_J",anc;l.-Total <br /> <br />---------_._---_._-_..~-~------.__.__..__.~-.~---- -_.__.,-------~. <br /> <br />Recreation Account <br /> <br />--~--- <br /> <br />---___._n__ _"______....__.... __._~ <br /> <br />. ---- .-----_.-._--_._-_._~..~ --- <br /> <br />R_ecreaffon Credit <br /> <br />Recreation Total <br /> <br />Zone <br /> <br />...----- <br /> <br />~-----_._-~ ----.- <br /> <br />------- <br /> <br />TOTAL AMOUNT <br /> <br />..-~--- .......------ 0.. '__,,__ h__...... <br /> <br />Exenlp~-o/fJ/yes [] No <br /> <br />----.------ .~ <br />~-_.--"'.... <br /> <br />How Determined <br /> <br />-----:..._--_._---~._~---,- --- ., --- <br />'-LIBRARY FEE __ <br />Land I\ccount ..... . . Land Credit -==--,--'~- Land Total <br />- ~.- - ---.. '-'--'-_'___4 _._~._---~ .___.____.__ ._.__~~.______________~.______. <br /> <br />---.__._-._--...__._.._-_.._-~- --------.-.--------- --._---._- ..--.."-- <br /> <br />Facility ACCOllllt ---f'aclTIty Credit Facility Total <br />..--...-------..-,~- --..--------...-------- "-'-'''-0__._. <br /> <br />Exempt/I] Yes/-I] No <br />'RESolJRc'e FEe"--- <br />TOTAL. AMOUNT <br /> <br />How Determined Total Amount <br /> <br />--------- -.-...--.--.-- <br /> <br />~-"""'-......-....." .. -...---......-.. <br /> <br />ERU <br /> <br />...__._----_._-~.._-----_._-_...- <br /> <br />-_.._--_._-_..-._.~--_.~._- ------- <br /> <br />--...-..-.....-__._~....~._.......~-..........._........"'-"-. <br /> <br />--------.--.~- <br /> <br />""..~---.-......- <br /> <br />Pl8pared By .___________________________________ Checked By <br /> <br />---.~------~...._._._._-_.__._...-.._----_._..- <br /> <br />NO CEFHIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br />I>~RFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br />BEEN PAID AN!) <br />RECEIPTED FOR BY A CENTRAL PERMrrTING OFFICE OF PASCO COUNTY <br /> <br />Aul,nowledgernent below does not Irnply acceptance of concurrence, but simply receipt of a copy of this form, placing <br />the bUilding permit owner on /lotlce of this assessment and the conditions of payment for same, <br /> <br />-15 A IE----- ----- n..___ --- -----.-----.-.- <br /> <br /> <br /> <br />RECEIPT NO. L.~IJ. DATE <br /> <br />~!~ By"RECEIVED <br />JP: l}- <br /> <br /> <br />------"---.~"--_.. <br />