Laserfiche WebLink
<br /> <br />PASCO COUNTY, FLORIDA <br /> <br />---------_..:. <br /> <br />~....-....- <br /> <br />-"'......._-----..-......._~ <br /> <br />Permit No. ----j~gc:?__________ <br />Date Permitted -~~-':'!23_ <br />y , <br />Builder NemelOwner Name ("h)"~~"~__ Control # _______~_- . <br /> <br />County Parcel No-.Jll=~:_=i!L:cyytJ -..9.3!l-co- o:>~"'- SubDtv: ~.~_L(""'~'l p <br /> <br />Ad(lress/l.ocatlon -----~-']_':>:?!:?_______.tJR~4?.~!::_":.__!~!.________________________ <br /> <br />Classlflcatlotl/Type of Use -~lli:~k?~~~~____~~.______._______________.__ <br /> <br />THANSPORTATION IMPACT FEE Rate: _____________ Sq Ft Unit: __~________ <br />Exempt [] Yes [j]."fo How Determined ______.____ _______________ <br /> <br />Impact Fee Amount -$.----1~~C!~ c:_~__ <br /> <br />Zone No. <br /> <br />-------_._----_._"_._~.._._-_._.._---_._-----_._.__._--- <br />SCHOOL IMPACT FEE <br />Account (056) Single-Family Detached House <br />(057) Mobile Home <br />(058) Other Residential <br />J1)3) Collection Fee <br />Exempt r~1 Yes [J No How DetermIned ____.___________._____________________ <br /> <br />TAZ: <br /> <br />---------...----- <br /> <br />Amount <br /> <br />$ <br /> <br />----.-., "--------.- ----.,..... ,. -. -., ""--------- <br /> <br />-------..----...-..-.---.-------.-.- <br /> <br />-----~-- _._-~-------~.__.-..._._--~ <br /> <br />PARKSAND RECREATION FEE---- ." <br />Land Account ____._______________ I:~nd Credit <br /> <br />--.-"'-..----__T_'O <br /> <br />---- <br /> <br />Land Total <br /> <br />Reel eation Account <br /> <br />._-_._-.__._-------_.._~-~- ~._-,.._-~- <br /> <br />.-...,.:..._-.._-~--~-~- <br /> <br />Recreation Credit <br /> <br />Recreation Total <br /> <br />LOlle <br /> <br />---.-~---_.4_~ <br /> <br />ExeITT!)t [J Yes [] No <br /> <br />TOTAL. AMOLJ"JT_~_u___.________u.____ <br /> <br />.~._---_._-_.._..__...._-_.__.__._---------"-_.._-----_...--.-------.-.- <br />LIBRARY FEE .- ' <br />Land AccolJnt.________._______.____ Land.f}rern[" ---..-------__u___ Land Total _____.__.____._._._.______ <br /> <br />, low Detennlned <br />----.._-_..._._~----~-.._-------. --'-~-" _.~,-. --"--_.._.__.--_._~._-_. <br /> <br />Facility Account <br /> <br />Facility Credit <br /> <br />_____ Facility Total ____._._.__~___ <br /> <br />E)(ernp( [J Yes [--] No How Determined -__u_____ <br />/ RESOUR'CE"m--'-;---'-C' 'f~, -..--------.-...... <br />TOTAL AMOUNT :!:::> L---- <br /> <br />Total Amount <br /> <br />--.----~---- <br /> <br />ERU <br /> <br />.........-..---................. <br /> <br />-.------------- ---..------..----. <br /> <br />~_.._-~------~---.---.--- ~---..._--- <br /> <br />--......-...-.--...-...-.--....,.-...--...__._u"._...___...-.-_..9________..~_..___.,_.________ <br /> <br />Prepared By __.. ________. __________.______._____ Checl{ed By <br /> <br />----~_._---------_.---,--_._-_._..- <br /> <br />NO GJ::RTIFICATE OF OCCUPANCY WIl.L BE ISSUED OR FINAL INSPECTION <br />fJJ::RFORMJ::D UNTIL THE TOTAL AMOUNTS LISTED HAVE <br />BEEN PAID AND <br />RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> <br />AcI(l1owledgernent below does not Imply acceptance of concurrence, but simply receipt of a copy of this forlll, placing <br />the building permit owner on notice of this assessment and the conditions of payment fur S81lle. <br /> <br />-----------------.-------..--------. . (. -. - <br />DATE I_I q ( A . REC <br />RECEIPT NcJ\.9 -litJl r DA~ 19}jti;:! BY <br /> <br /> <br />.-'- BY------ .-------..--------- <br /> <br /> <br /> <br />---~-_._---- <br />