Laserfiche WebLink
<br />,l" <br /> <br />-,~~.:~)7:,;~7,.;,!:Jj-~:'-~{:~~1-:~:~ ',"~"~"'~._,*._~~"I~~~~~"':il~,~~ ~~~J~~~~~.'::~;~'~~.._,~."!~-."'~~ '''._if_:'';~~i'\'l~ <br /> <br />.' , <br /> <br />'" <br /> <br /> <br />PASCO COUNTYtt FLORIDA <br /> <br />Permit No. <br /> <br />, l <br /> <br />Date Permitted _ <br /> <br />" /, <br /> <br />Builder Name/Owner Name <br /> <br />'..' ..~~;r <br /> <br />i 1,' .; ( <br /> <br />County Parcel No. <br /> <br />(, <br /> <br />i { <br /> <br />'/~"'.', .' <br />j -; . <br /> <br />jj i', <br />'-. ;. <br /> <br />AddressILocation <br /> <br />Subd. <br /> <br />Classificationffype of Use <br /> <br />! ' <br /> <br />1 , <br /> <br />:.' I J .' <br /> <br />How Determined <br /> <br />TRANSPORTATION IMPACT FEE CALCULATIO~ <br /> <br />EXEMPT 0 <br /> <br />t <br /> <br />Why? <br /> <br />Rate $ <br /> <br />Zone No. <br /> <br />Sq. FtlUnit <br /> <br />Prepared By <br /> <br />Impact Fee Amount $ <br /> <br />Checked By <br /> <br />The above impact fee has been established pursuant to the Pasco County Transportation Impact Ordinance as adopted by the <br />Board of Pasco County Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or <br />utilization of the permitted structure. <br /> <br />RESOURCE RECOVERY ASSESSMENT <br /> <br />" '. <br />'.'r"\ <br /> <br />.:\~.', <br /> <br />EXEMPT 0 <br /> <br />RESIDENTIAL <br /> <br />NONRESIDENTIAL <br /> <br />No. Units <br /> <br />Gross Sq. Ft. (GSF) <br /> <br />RJtl' ERL: - 52.00/YeJr <br />or SO.142/DJ)' <br /> <br />ERU Assign No, <br /> <br />Assl'~~rllenl ,- (!'<o Units) x ($0 142) <br />\ (No. DJ)'s) <br /> <br />Assessment - <br />(GSF) x (ERU) x (0.142) x (No. Days) <br />100 <br /> <br />TOTAL FEE $ <br /> <br />TOTAL FEE $ <br /> <br />NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED <br />HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTI"G OFFICE OF PASCO COUNTY. ! <br /> <br />Acknowiedgement below does not imply acceptance of concurrence. but simply receipt of a copy of this form. placing <br />the building permit owner on notice of this assessment and the conditions of payment for same. " <br /> <br />Date <br /> <br />Received By <br /> <br />----- --------------------------------------------------------------------------------------------- <br /> <br />OFFICE L'SE ONLY <br /> <br />TRANSPORTATION REC. NO. <br /> <br />RESOURCE RECOVERY REC. NO. <br /> <br />DATE <br /> <br />DATE <br /> <br />BY <br /> <br />BY <br /> <br />White <br />Applicant <br /> <br />Canary <br />Trans/Finance <br /> <br />Canary <br />RR/Finance <br /> <br />Pink <br />Office <br /> <br />Green <br />Bldgllnsp <br /> <br />'" <br /> <br />feecaice <br /> <br />PC93113094/D <br /> <br />_~'____H~ .....11III"..- <br />