Laserfiche WebLink
' P�4S�0 COUN1'Y, �LORID�4 <br /> I <br /> � , Permit No. � <br /> i Date Permitted - <br /> � Builder Name/Owner Name � ��j � <br /> Control# <br /> I County Parcel No. Q�-�-Z�- �J7o_,(�d��� d17'�SubDiv: � �(,�� <br /> � AddresslLocation ��Q��j� � <br /> , � ��- � C7� <br /> ClassificationlType of Use j / �� �� <br /> ,, , _, <br /> TRANSPOR7ATION IMPACT FEE Rate: <br /> Sq Ft Unit: ��� <br /> ' Exempt [� Yes � No How Determined <br /> I Impact Fee Amount $ <br /> I 3� Zone No. �_ T�; <br /> I SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount <br /> � (057) Mobile Home $ �g7 `Z� <br /> � (058) Other Residential <br /> � 123) Collection Fee <br /> � Exempt Yes �] No How Determined <br /> i PARKS AND RECREATIOPI FEE <br /> ' Land Account Land Credit <br /> I Land Total <br /> � <br /> Recreation Account ___ Recreation Credit <br /> �_ Recreation Total <br /> Zone ___ TOTAL AMOUNT $ ��9�� <br /> � Exempt [] Yes � No How Determined <br /> LIBRARY FEE <br /> � Land Account Land Credit <br /> Land Total <br /> � Facility Account ___ Faciliry Credit <br /> Facility Total <br /> I Exempt � Yes � No How Determined <br /> � .__ Total Amount �� <br /> � RESOURCE FEE <br /> TOTALAMOUNT ERU <br /> I <br /> � Prepared By ' <br /> Checked By <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTIOM <br /> i PERFORMED UNTIL THE TOTAL AMOUMTS LISTED HAVE <br /> � RECEIPTED FOR BY A CENT ALEP RMI11T NG OFFICE OF PASCO COUNTY <br /> Acknowledgement below does not imply acceptance of concurrance,but slmply recelpt of a copy of thfs form,placing <br /> the building permit owner on notice of this assessmant and th�conditions of payment for same. <br /> DATE <br /> � RECEIVED BY <br /> ' RECEIPT NO. __ pATE <br /> j —__ BY <br /> I - .. <br /> � <br /> I =---��-_��.:�n�.�...�___._._._.____��---- <br /> F.- �-�,.>�._ � _ �v-.--�-,�--�.�.�._-__.�.e,.�.���_�- --- --.- - <br />