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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />--......-.-.-~~ <br /> <br />...~--.....--.._-- <br /> <br />Permit No. ---__:2:!:,X:'-:Z______ <br />Date Pennltted '7 - .;l:..,s.,__~.3 __ <br /> <br />Bulkier Name/Owner Nama JJ~LI ~ LQ "~( d"~~, Control # _~_"__""___ <br /> <br />Courlty Parcell'Jo, .3.'-I::-~'~"'"'::";;{L-:C!.QlQ-Q~Tt=i7' / S,u~o.lv:J ,fJ 'f?!1-~~-f:Wl,'_lc.~) tJ lotS <br />I?'IC'/r..ij 07 ') <br />Address/Location --____Z) 7it.lk.___.!V t~.J__Jl'() (2 (2~:'-"-/JlJtL_________________________ <br /> <br />Classifica lIoll/Type of use----!1112_~l.l~_l:.1:-O__kJ..~______.________.._______ ..______ __ <br /> <br />TRANSPORrATION IMPACT FEE <br /> <br />Exempt [] Yes lz,rtJo <br /> <br />Rate: ______________ Sq Ft Unit: ___._______________ <br /> <br />How Determined <br /> <br />Impact Fee Arnollntt____..1L~lLf!_______.. <br /> <br />--..-----.---.---------------------..----------...-..--.-- <br /> <br />Zone No. TAZ: <br /> <br />-------- -~.__.,_._----,-- <br /> <br />'SCnOOLIMPACT FEE'-.~--'- <br />Account (056) Single~Famlly Detached HOllse <br />(057) Mobile Home <br />(058) Other Residential <br />{'I 23) Collection Fee <br />Exempt It:YYes fJ No How Detennlned <br /> <br />------ <br /> <br />Amount $ <br /> <br />.. -----._____Uh.___ . "..__."._...__..,...__ <br /> <br />---.------...--------.- ----...------- <br /> <br />--...--...-------..-.-..-....-,-.. <br /> <br />PARKS AND RECREATION FEE <br />l.and Account Land Credit Laoc:J.:rntal <br />_._-~-_._. ....- ...~--_. --.:::-..-- <br /> <br />. ----. <br />Recreation Account Recreat-iorfCredlt <br />. --------------~~----.--. <br /> <br />----.-.--------..-------------.,...-...--..----.--- <br /> <br />"- <br /> <br />-----__..H__._._____.... _ ".___ <br /> <br />-.--.--.-.- <br /> <br />Recreation Total <br /> <br />Zone <br /> <br />-.--.--..-.-..--.--- ---- <br /> <br />. - -.. ---.-----. ---_._--~ <br /> <br />..--- <br /> <br />-.- <br /> <br />Exempt [LY~rf' [] No <br /> <br />TOTAL AMOUNT ..,L___ ______~______,.,__ <br /> <br />How Determined <br /> <br />~-,---..c:::;:;:____~___" <br />LIBRARY FEE <br />Land Account <br /> <br />-----_.._..._-~----------_.._---_._----..._-----~......_-.--. <br /> <br />"---~..--...","---~ <br /> <br />Land Credit _ Land Total <br />-----------------=-=: '-- - ,,- .-___.h _.. ._______.___. <br />------- <br />F aclllly Account_____ _______ ______ ~:~-il~~.-CI:et1tC-~-__---_----------- Facility Total ..___________________. <br /> <br />Exempt [J Yes_-.1],Ntr"'-/llow Determined _______..___ Total Amount ____________ <br /> <br /> <br />--~...--..,~-.....---_""______................_u~ __~ <br />RES~OYRCE FEE <br />TOTAL AMOUNT <br /> <br />. ..~.._--_. .--.--,-- .. --....,,--~--_...--_.-. <br /> <br />ERU----~----~- <br /> <br />. .__.-._----_._._---._--..~.- <br /> <br />~------_.-.-.._-.-~.__._--- --.--,,--.- <br /> <br />-'_........._.._-,.._._.._-~-~.,---...........-............-....""~-~ <br /> <br />.-...........~.. <br /> <br />Prepared 8y -uu--__uu__u_____.___u_u___________________ Checl<ed By <br /> <br />-_._--~---_._..__._---.._- ------------_.~ <br /> <br />NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br />reRFOf~MED UNTIL THE TOTAL AMOUNTS L1Sn:D HAVE <br />BEEN PAID AND <br />RECeiPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> <br />Acknowledgernent below does notlrnply acceptance of concurrence, but simply receipt of a GOPy of this form, placing <br />thE; building permit owner on notice of this assessment and the conditions of payment for samB, <br /> <br />~--- ..-.._.. ......--. .....-. - -... ......----..---. --~.~_.__._-_._-----..__.._._~_.. <br /> <br />DATE <br /> <br />/ / --------- <br />/. .' i nECEIVED <br />? // . - . <br />JIL) rZBY _' ~_________ <br /> <br />-......-.--.---..--..------. <br /> <br />I' .~ y/ <br />REC;EIPT NO, ~--lf7...c!._::._2 _ DATE <br />