|
<br />~'"1inIlI'I._,,~..~.I''''~~'Z~ '11"""'-'.:11&<<0_. r-"""- '7'~-.~ ;.....,.._,..,.~.... ....-n I!'ro""
<br />
<br />r.~ ''Wr...-~:;"l' ~ 41"":Vp;.J.._~~.~,j.-"....'
<br />
<br />~
<br />
<br />1" _.:.'.._.11';
<br />
<br />'II'
<br />
<br />"::';,l;~~~.-\-1i~\'-:" ~f\~~\f~:,;'1
<br />
<br />
<br />PASCO COUNTY~ FLORIDA
<br />
<br />1'17 "7/
<br />Permit No, ~. " b
<br />Date Permitted _ I u h (Of I
<br />, -
<br />
<br />......,
<br />
<br />/ , 1
<br />l.,..,.. "
<br />
<br />Builder Name/Owner Name t:' L ,""" ,', ,-
<br />
<br />I, '!)I (j 0-'1)
<br />County Parcel No. "~ d,' , - U I ') i' D 000 (). . ,,~, (
<br />
<br />Classificationffype of Use
<br />
<br />f."" ' t
<br />') i ""~l'
<br />
<br />(). ;?,) .~
<br />r'
<br />rc,,.... ( I ,-
<br />;
<br />
<br />13" / 'I
<br />
<br />l~l
<br />; \ ... II
<br />,I,,,""" ,~. (,!
<br />
<br />S bd l' ,,) - )
<br />U ."..1' t" '1 f) ~) I \ {) "
<br />
<br />Address/Location
<br />
<br />S ii,., (
<br />\ I.
<br />
<br />How Determined
<br />
<br />TRANSPORTATION IMPACT FEE CALCULATION
<br />
<br />EXEMPT 0
<br />
<br />Why?
<br />
<br />Rate $ ...../ Zone No. //
<br />// ",,/
<br />Sq. Ft/Unit ,./ Prepar~y
<br />// /
<br />Impact Fee Am~..~cked By
<br />, /
<br />The above 4act fee has been established pursuant to the Pasco Cou9tY Transportation Impact Ordinance as adopted by the
<br />Board 0asco County Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or
<br />uti~tion of the permitted structure.
<br />./
<br />RESOURCE RECOVERY ASSESSMENT EXEMPT 0
<br />
<br />RESIDENTIAL
<br />
<br />NONRESIDENTIAL
<br />
<br />No. Units
<br />
<br />Gross Sq. Ft. (GSF)
<br />
<br />RatL' ERL:
<br />
<br />5~.()0/Year
<br />or so. l..+~/Day
<br />
<br />ERU Assign No,
<br />
<br />A~~L'~~rnenl - (No. Units) x ($0.142)
<br />x (No. Days)
<br />
<br />As~essment -
<br />(GSF),x (ERU) x (O,14~) x (No. Days)
<br />100
<br />
<br />TOTAL FEE $
<br />
<br />TOT AL FEE $
<br />
<br />NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED VNTIL THE AMOUNTS LISTED
<br />HA VE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY.
<br />
<br />Acknowiedgement below docs not imply acceptance of concurrence. but simply receipt pf a copy of this form, placing
<br />the nuilding 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 />----- --------------------------------------------------------------------~~--_.~---------------------------------------------------------
<br />,~-/ ,/
<br />'I{' ~
<br />.-: /'
<br />( I~,
<br />;' . -------.----
<br />, r
<br />\_/\~/
<br />"---<.
<br />
<br />TRANSPORTATION REC. NO,
<br />
<br />RESOURCE RECOVERY REC. NO,
<br />
<br />DATE
<br />
<br />DATE
<br />
<br />" BY
<br />)
<br />~~,~
<br />
<br />White
<br />Applicant
<br />
<br />Canary
<br />Trans/Finance
<br />
<br />Canary
<br />RRIFlnance
<br />
<br />Pink
<br />Office
<br />
<br />Green
<br />Bldg/lnsp
<br />
<br />teecal'ce
<br />
<br />PC93113094/D
<br />
|