Laserfiche WebLink
i <br /> t <br /> IMA <br /> rA-SCO COUNTY, FLORIDA <br /> Permit No. � <br /> Date Permitted (S?��Zc} <br /> Builder Name/Owner Name !-u-( Control# '" <br /> ? County Parcel No. O t26-Z- 012o- -052 a SubDIv: Im—'y A � <br /> Address/Location c <br /> i <br /> Classification/Type of UsQ 2_ <br /> E ' <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 3c ZD <br /> i <br /> Exempt lies [] No How Determined <br /> Impact Fee Amount $.�%'t Zone No. TAZ: <br /> SCHOOL IMPACT FEE <br /> } Account (056) Single-Family Detached House Amount $ E <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 23) Collection Fee <br /> Exempt d Yes -0 No How Determined <br /> PARKS AND RECREATION'FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ <br /> Exempt ❑Yes ❑ No How Determined <br /> ti <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑ Yes Q No How Determined Total Amount _ <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By b 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 this form,placing <br /> the building perrnit owner on notice of this assessment and the conditions of paymentfor same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />