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<br /> <br />PASCO COUNTY~ FLORIDA <br /> <br />Perrnlt No. .-.._.g...;i~~__ <br />Date Perrnitted -/0 / ~-~ <br />, 'C/I iI , 7ry-~ <br />Buildel "0111<<19\"ner N~n1>l) .w4L~.Y"~ta.L~. . Control # ---;;-~--;HT. <br /> <br />County Palcell'~o. 31 ~ :21--DOJ12.::J):2s2<2ll.il.J::L3 SubDiv: L:!!i.AMI'lI~ <br /> <br />Address/Location ~ 7t 6-Z-_~~._.u!.LJ:.._________.____________..__~__ <br />,- . Q <br />Classification/Type of Use (::~':~:-~J2IY~4~_:'-_~':::!5-......... ____ ___ "_________________ <br /> <br />TRANSPORTATION IMPACT FEE Hate: __...________...... Sq Fl Urlit: ._.____._____.. <br /> <br />Exe Ill" t [J Yeti i'RJ No II ow De te Iml ned _.. ~_ ___.~.. ~ ._._.. . ~. .~-.-._...__~ <br />4--'~~ " i! <br />Impoct Fee Amount .~--II-"!i..7tf;;o~ Zone No. .___.._~_ TAZ: ~.._..~.. ____ <br /> <br />SCHOOUMPACT FEE - _____ <br />Account (056) Single-Family Detached House <br />(057) Mobile Home <br />(058) Other ResldtHltial <br />\ 1-.1)23) Collection Fee <br />Exempt }1,Yes 1_) No How Detennined ____.._._____ ---.....-------___.m____ ....._.____ <br /> <br />PAR~(S AND RECREATION FEE <br />Land AceOI mt Land Credit <br /> <br />Amount <br /> <br />$ <br /> <br />------ <br />..,.. '.., ...~-- .....-..,-.... .-..... <br />"...... <br />---...-7"""..-'...........,. --,----,-- <br /> <br />~;.,r"..-... --.. '-. ,. '._,.-_....... <br /> <br />,,/ <br />../ <br /> <br />.---....- <br /> <br />-----..---- .-.-- .'---'_.~-- <br /> <br />Land Total <br /> <br />Recreation Account r~ecreation Credit I~ecreation Total <br /> <br />--------.,.-.- .-. ..--.---...-.____h__ <br /> <br />ZOllb <br /> <br />--- .---~....-.-.---..-.--.-~ -~---'".-_....-... h__________....____... <br /> <br />Exempt [] Yes I'~'I No <br /> <br />TOTAL AMOUNT .~__..._.. <br /> <br />"'-.-..-... .--..------. <br /> <br />How Determined <br /> <br />---._,~--......~--_. ._.~...._..............._--'-.--~'--,...._--_.,----......... <br />l.JBRARY FEE <br />Lallei Al~COlllil Land Credit <br /> <br />.-. "-'--"'---.-.- ---"'-"'--'~-'.-___ _._ 'n. ...________.__. <br /> <br />--~......._-". ~-~-- <br /> <br />~-_.-..__.._---~---- <br /> <br />Land Total <br /> <br />-~_. __.._. __ n_.. __~_._._.______ <br /> <br />Facilit)/ Accoul1t '..._________._ Facility Credit ..._..___..______ _._.... Facility Total .._ <br /> <br />[j Yes <br /> <br />[J No <br /> <br />How Determined <br /> <br />Exempt <br /> <br />-----------.------ <br /> <br />Total Amollnt <br /> <br />---.._-~-_._~---_.....~~~ <br />RESOURCE FEE <br />TOTAL AMOUNT <br /> <br />.- .,---_._-_.._---_...._.._----._--_..._~-- ----.. - ~- <br /> <br />IL> .'SI <br /> <br />___n~__...__"._~____ <br /> <br />. ....._~-----..~ <br /> <br />ERLJ <br /> <br />~ '-.-..--.----- .-...-.-...----.----.---- <br /> <br />-~--.~......-----....~-. --'-.......-.....----..0.- . <br /> <br />....~------.... <br /> <br />-..........~--....-........_~............_........- <br /> <br />Prepared By.,., ..__'._._..______.__...____._____,_ Checked By <br /> <br />---.... _. .--. ---.--....-.-.---..---..-, <br /> <br />-.--.----...--.-..--.--. <br /> <br />NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br />I~ERFO.{MED UNlit lHE TorAL AMOUNlS USTl:D HAVE: <br />BEEN PAID AND <br />RECEIPTED FOR BY A CENTRAL.PERMITTIN<3 OFFICE OF PASCO COUNTY <br /> <br />AcI\nowll:Jouenlsnt below does lIut Irnply acceptance ot concurrence, but slrnply receipt of a copy ot this form, fllalilnu <br />1I1l::l bUilding pennlt owner on notice of tI 1Is assessrnent and the conditions of paymtlnl tor saine. <br /> <br />. .- ... ----.- -- .... -..---..--- -...,-.- --.----.---.--.--- -- ..._~- '"-- <br /> <br /> <br />DATE <br />RECEIPT NO, ldJ?_~..7I.~P. DATE <br />