Laserfiche WebLink
t RASCO COUNTY, FLORIDA <br /> _ Permit No.Date Permitted 00 <br /> Builder Name/Owner Name ' 1 Control#' <br /> County Parcel No. 0 2 �L �6 6 SubDiv: <br /> Address/Location <br /> ClassiflcationRype of Usq <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt. ❑Yes ❑N)o/ How Determined <br /> / <br /> Impact Fee Amount �. 7P / Zone No. TAZ: <br /> SCHOOL IMPACT FEE �.�-, � <br /> Account (056) Single-Family Detached House Amount $ �— <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> } Exempt Yes ❑No How Determined <br /> F <br /> l. PARKS AND RECREATION FEE- <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation-Total <br /> Zone <br /> TOTAL AMOUNT $ <br /> Exempt ❑Yes ❑No How Determined <br /> LIBRARY FEE <br /> Land Accounf Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> .�.- <br /> Exempt ❑Yes ❑Na Haw Determined Total Amount <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE OF OCCUPANCY--WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN-,PAID AND <br /> RECEiPTED FOR BY.A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply receipt of a copy of We form,placing <br /> the building permit owner-on notice of thla assessment and the condtttons of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />