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<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />~""UI__~__"""",,,_,."'n <br /> <br />-\\, "'I. ..r~ <br /> <br />~L __...__............ <br /> <br />Permit No, ----"~~L_ <br />Date Per:muted 11- / 12.~3- <br />Builder NOllie/Owner Name _ ~~~c. b,""/1-'.......Control II ___________ <br />Coullty Parcel No. ___ .C.E.~;y.;:dL - C~d7(?:2f'et7"!:C' _ D~.@ubniv: _ _..._______ <br />Addrae./looa!lon _ -3P. ::J./1- c: I-t cd~_. ._______ ___ <br />Classificatloll! I'ype Of Use _ _ __5+ ,.c~_~4..~_ __ _ __ ___,,___ _ <br />TRANSPrlItrA:r10f4 IMPACT FEE Rete: _ ._______ __ Sq Ft U"It: __"_________.__ <br /> <br />Exempt [.I Yes IJ No <br /> <br />'.IOW LJeterrnlned <br /> <br />Impa()1, Fee AlllOllllt -1_.-5~_.L '3 _____ <br /> <br />----- ....----..-..-.-..-...- --. -.... -.,',. .--..--... -~. '-- <br /> <br />scfio5[TMPACT FEE-w.---",-,~ __,._,~~ _... _____._~.._ <br />ACL'Ounl (056) Slngle-Femlly Oetached Hou.e Amount $ _,,_______ ___ ",,_.____ <br />(057) MotJlle HOllie .____ ____ ______.______ <br />(050) Other Resldenllal ____________.__ <br />ji2~3) COlle~lon Fee <br />EXelnp! IJ Yes [ff 0 IiOwOelennlneo ___~_ __.___________ <br /> <br />Zone No. <br /> <br />TA7.: <br /> <br />-..--...- .------ <br /> <br />PARR1fAt-JO'RECREATlo'f-J FEE ,~-. , <br />larlll Account Land Credit <br /> <br />--"'-~--...""",,--,-- <br /> <br />.-..-....---- <br /> <br />Recreation Accolll It R.ecl'ElRllm f~ti(;,.eatJon Total <br /> <br />--- <br /> <br />Land Total <br /> <br /> <br /> <br />Zone <br /> <br />._-_.~~---.. ~_._-- -------- <br /> <br /> <br />--'.. -- -- ...... - . <br /> <br />TOTAL AMOUNT It <br />.-:f__._ ,__ _. ..__~._. .. <br /> <br />~es IJ No How Determined ________ ___-.____ <br /> <br /> <br />N-.....,._J_...'"""_.....__.............,_.___._.._____~__.._......._....__....___."'____.___._._____._ <br />LIBRARY FEE <br />LSllld ACCOlllll Land Credit <br /> <br />. -........----.-..., .------- <br /> <br /> <br />f!aulllty Acuol.lllt ._u_,_._..._ _ <br /> <br /> <br />-.---.--.-... <br /> <br />Examp! s [] No How Determined ____ Total Amount ______.___ <br /> <br />- ~;~~P:~~~~~TQ~@G~~.ERu:-__~== <br /> <br /> <br /> <br />.....----...- --.._-~----....., ~----_._.._------------ "- <br /> <br />----____ FacilIty Total <br /> <br />---... <br /> <br />Prepared By g:}._.__..._________..__.__. <br /> <br />Checl<sd By <br /> <br />-.-'---'- ._------------.....~- <br /> <br />NO er:RTIFICA'l'E OF OCGLJ~'ANOY WII..L Be ISSUt;f) O~ FINAL INSPECTION <br />l"E:RFORMElJ UNTIL THE TOTAL AMOUNTS LISTED "Ave <br />BeeN PAID ANfJ <br />REGEIPl't:D FOR BY A CENTRAL PERMITTIN(~ OFFICE OF PASCO COUNTY <br /> <br />Acknowledg,"""t b'tow does 110t h"flly acce".."o. of <'OIIOO"&I1C'. but simply r.nelp! of . copy of Ibis rolin, plaolng <br />tll6 lJulldhl(J perllllt owner on 1101100 of t"l~ 8$~t:I!l~lllellt anQ the condtlJons of payment for sarna. <br /> <br />- oNfE---.-. ----,,- -..._-.~--.- --- -n~ ,EJ <br />RECEIPT NO. ~lL9Ell._ DAlE '=\~J.:_~YBY <br /> <br /> <br />...--.....---- <br /> <br />l'd 9/ZQ'ON <br /> <br />~lll~~A~rl~7 ~n A I l~ <br /> <br />1.IJ\17"~/ "flfl7 '/7'Jrl\/ <br />