Laserfiche WebLink
K I <br /> 1 . . <br /> I?ASCU CQUN RIDA <br /> Permit No.- Y to 2- <br /> tt Date Permitted - � <br /> Builder Name/Owner Name 11 J Control#' " <br /> County Parcei No. 35-2s-ZI--0j`o�C)tOl -C�D(Z) SubDiv: �. <br /> Address/Location �] -! C(6' L��e <br /> Classl icationfType of Use 5f <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 3, t S-3 <br /> Exempt []Yes Q No How Determined <br /> Impact Fee Amount $. � , (1?� Zone No. TAZ: <br /> SCHOOL IMPACT FEE: <br /> Account (056) Single-Famlly Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt [ Yes . Q 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 7kZ <br /> Exempt C]Yes ❑ No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt (]Yes 0 No How 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 AMOUNITS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE�OF PASCO COUNTY <br /> i <br /> Acknowledgement below does not imply acceptance of concurrence,but simply receipt of-a copy of this form,placing the building permit owner.on notice of this assessment and this conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />