|
<br />
<br />PASCO COUNTY, FLORIDA
<br />
<br />......'......',..,.,..... ..... ....,~.~.._................".ft'\"...""..,..".. "'~".""''''''''''-'''''''''''-,",-.............,\.~",... ~..~ '"'._...,~~. .....~...~'""., ..~-' _."'.><...;.....,....'.....,.'-r....._~'..,.""""_.,___........_~.._._........,~~ .........,. _...._
<br />
<br />81111der Nallle/Owner Name _._G:..Df/Li:,r.~_~~_ ~~~/r~l1trol tf._______ __..___..___.
<br />(;011/ lty Pall :ell'lo, .t2.~ ~f~.d/-:--_(.~_7(= _t-(:~('.c:~f~lf.3ubl)iv:
<br />Address/L()(;atioll -5.!" 2I:Z.--.r:0~;i1fk2 --d:L<___._ .._________.._. _. ________.__.
<br />Classiflcatloll/l"ype of Use_ u_ jL~~-&-t..~4r.. ..t:4./~!/ij~~_ __. _
<br />TRANSPORtATION IMPACT FEE Hate: Sq n Utilt:
<br />
<br />Permit Nu, d S LJ /
<br />I late Pe"nltte'cr-.=22=.22?~~~l3=
<br />
<br />E:xelrlpt [I Yes 1-] No
<br />
<br />Ilow Detenlllned
<br />
<br />Impact Fee Alllollntl____'2.:1.CZ.'../ __~____
<br />
<br />Lone No. TAl:
<br />
<br />'--'---'--'--'-"-' ----...--.
<br />
<br />scil0()L-Hv; P AGTFEE."""--'" -.. ...., ~,.._- ",.._~..,......_...._._,,_..~.....".~.._.,,~--",... . -.... ..._~_. .~..."...,~.....,_~__...._ ._.____ .... _.._~
<br />
<br />
<br />Account (056) Slngle-Falnlly Uetached House Atl10unl $ .__ _,_
<br />(057) Mobile Home
<br />(USn) (Hher Residential
<br />
<br />Exempl I ~(i ~~s 't<lJ;a::OIl F~7,)W I.lelennlnerl _ ___.._ ___~~_~_~ _~_~_ _ ~ _ ~_~ ____ .. ~
<br />
<br />p ARi'<ifAHf), RECREATI ONFE E - ......,-.--. .--,._---"------~-.~.~-...-~.~-,-.--.-----__.,,__.,_.
<br />LatHl ACCUllll( Land Credit Land Total
<br />
<br />HeeteR tiun ACCOIIII t
<br />
<br />--=~"--. -.---.- ".- -..._-~._... '~"'----
<br />
<br />
<br />Hecleation Total
<br />
<br />ZOl18
<br />
<br />TOTAL AMOUf\lTl_ ._._
<br />
<br />
<br />II No
<br />
<br />Ilow Determined
<br />
<br />-----
<br />
<br />.""'."'*,-,.-" ~"" ...".._....... "". .....co....... ''-~:'" '"''-'''', .. .,..~._ "
<br />LIBRARY FEE
<br />Land ACCUllIll
<br />
<br />".., ,"" ,- .....,...,.....,.,...'" '" '~,."....~...."'""',..._....~.L'" ..., .. ...,.......,..".~,... .-,,,......,.,............. ~'H.'" -. ""~"~....,...~...~_..._...,.~ ~ .....,.,.......,... _..,....<>,,"._~ .....--..,~."'-.._~.....-,....".,....'.......,.r_~_..~__..~.. ..'.........._..
<br />
<br />Land Credit
<br />
<br />Land Total
<br />
<br />Facility ACCOllllt
<br />
<br />. ----.---.--------. ~._~.,._.._-_..__.~
<br />
<br />Exempl
<br />
<br />
<br />. --=::::.,,"..~ ..0"___._.
<br />RESOURCE FEE
<br />TOTAL AfvlUl JNT
<br />
<br />
<br />- c IIty Credit
<br />
<br />_0_. Fanillty Total
<br />
<br />- -----.-----..---.----"..
<br />
<br />How Determined
<br />
<br />Total Amollnt
<br />
<br />, ... "- ""~",""--~..",.....,, '... .,.,-............,.. ''''"'-'''"'''-'-'.' _.. "".~,."'.,.w"........__,.,,...._..............._.......................__.... _......,.~~..,.,..._........._....... ..'."-,...__._"....".,.,.,_.......".......-... ..."'..._..........".."..,~.~""'_~.__...',__,....,~
<br />
<br />ERU
<br />
<br />.....--.-- -.., --. - _.' ---"'.--"-.'.-- ."- -.---.-- -.-.---
<br />
<br />--...~_.-.-.. -~'-" .-.- -..-----.---.-------..-.--
<br />
<br />Prepared By .
<br />
<br />. '<. '. ." "'" , ........ ....,....._.,,_._._._.._...~..-...... ."..~.....~_....-... ..^"."...~._...............w."._...._,.....~~..~.__..._..._..._.._..____.~._
<br />
<br />... .-......-.---.......------.-- -.-...---- ,-
<br />
<br />.. ________. Checked By
<br />
<br />~. ..-- . .-.-..------., '-"---'--~ ."+ ..-.-..-..----.-..---..--.---..-.
<br />
<br />NO CEHTIFIGATE OF OCClJPANCY WiLl., Bl~ ISSUED or~ FINAL INSPECnON
<br />PErU:Or~MEU UNTIL TilE TOTAL AMOUNTS LISTED HAVE
<br />BEEN PAID ANn
<br />I~EGEIPn:D FOR BY l\ CENTRAL PERMITTING OFFICE OF PASCO COUNTY
<br />
<br />^cknowledgernent he low does nnt 1I11ply acceptanGe of concurrence, hut simply receipt of a copy of tills fortll, placlnq
<br />the building perflllt owner on notice of this assessment 811d tl18 conditions of paYlllent for sarns.
<br />
<br />DATE
<br />
<br />-.----.------------ -----_.- .
<br />
<br />1~r:CFIVEf) BY
<br />
<br />RECEIPT t'JO. DAlE
<br />
<br />---------...-... .-, ~-~..._-- ___On __.. ___~'__
<br />
<br />BY
<br />
<br />-- -----.'---____ .".___n ....____ ._.___.
<br />
|