HomeMy WebLinkAboutSLC Road Impact Calculation FormST LUCIE COUNTY
ROAD IMPACT FEE CALCULATION FORM
DATE: 13�/
NAMt U
FEEPAY
ADDRE.
PERMIT
ROAD IMPACT ZONE:
THE IMPACT FEE CALCULATED HEREIN HAS BEEN DETERMINED BASED
ON THE FEE SCHEDULE ADOPTED ON 5-09-00, EFFECTIVE 10-01-00.
IMPACT FEE CALCULATIONS
LAND USE TYPE:
# OF UNITS: %
# SQ FEET (PER 1000):%®g
ROAD:
(# SQ FT - BY 1000) X ( FEE PER UNIT)
PUBLIC BUILDINGS:
x o? =$ 03
FIRE / EMS X %?J =$ o?910 %3
Reserve Homes Ltd., L.P.
2160 Reserve Park Trace
Port St Lucie,FL 34986
Date: Tv I y 2-14
Reserve Homes Ltd., L.P. hereby assigns $ 1 0 1 32 4 32
from the Road Impact Fee Credit Agreement 93-02, to:
N.�r• tiotp�NGs � LNG. .
for the purpose of constructing: (Check One)
Single -Family Dwelling
Multiple -Family Dwelling (#of Units: )
Commercial/Industrial (square feet
Other ( )
This credit shall be for the following specific property:
Subdivision
Lot: Block:
(attach separate legal description if necessary)
Property Tax ID#
Assigned by:
TO BE
Received Date:
BY ST. LUCIE COUNTY
Credit amount available:
Credit used this assignment:
Remaining credit amount:
Building Permit Number.
Credit Assign. #: CAL-93-02-
Last Assign. #: CAL-93-02-
Reviewer: Date entered into Master Log:
Approved: Date: