<br />I",......,.,""..
<br />
<br />." ,-----.....-...-. -. ',,',.--..:~. ~~;~~"''''....~:.~~.....--- -... -T ~:nIII'f:~.r,K~'":''';A'''''J:::,,,,~~_',\'1~''''~~}'~~~,-,,:, - >1",1:' irll~.!;~,...,~1WIllIIIJX\'Si'~_,~~",", ~
<br />
<br />
<br />PASCO COUNTY. FLORIDA
<br />
<br />D. j -. ("J
<br />Permit Nu. _4 / ..,
<br />Date Permitted _ L/ (:;) -, 101
<br />
<br />Builder Name/Owner Name t c. V', S
<br />
<br />/
<br /><- t,)..-1..{ r
<br />
<br />County Parcel No. /<.,. ) t
<br />
<br />,,- OluJ' OOc"HJO..:::)!l.....(u
<br />
<br />..../ ,:-<'" ..,
<br />AddressILocation .;"!... I J
<br />
<br />,. '"",\":J~/ L~ C/
<br />f
<br />\"' . ,.. . \
<br />}, """)/v j.t; 1._, Y
<br />
<br />Subd.
<br />
<br />l O~~I v~..t.
<br />
<br />5Yj
<br />
<br />Classificationffype of Use
<br />
<br />I) l-..P II .. '"'1
<br />
<br />How Determined
<br />
<br />TRANSPORTATION IMPACT FEE CALCULATION
<br />
<br />EXEMPT 0
<br />
<br />Why?
<br />
<br />Rate $
<br />
<br />Zone No. r/
<br />/'
<br />
<br />Sq. FtlUnit
<br />
<br />P.rePared By
<br />.."-
<br />
<br />~.~,""
<br />
<br />",,",'"
<br />
<br />.'
<br />
<br />Impact Fee Amount $ ,,/ J Checked By
<br />//
<br />The above impact fee pa'Sbeen established pursuant to the Pasco County Transportation Impact Ordinance as adopted by the
<br />Board of Pasco <;etl~ty Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or
<br />utilization of.H1f 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 />Rate ERe:
<br />
<br />5200/Year
<br />or SO.142/Day
<br />
<br />ERU Assign No.
<br />
<br />Asse,,>">fl]ent ~ (No. Units) x ($0.142)
<br />x (No. Day,,>)
<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 VNTlL THE AMOUNTS LISTED
<br />HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING 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 huilding 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 />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 />Bldg/lnsp
<br />
<br />feecalce
<br />
<br />PC93113094/D
<br />
|