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<br />PASCO COUNTY, FLORIDA
<br />
<br />Permit No. ."
<br />
<br />Date Permitted
<br />
<br />Builder Name/Owner Name
<br />
<br />County Parcel No.
<br />
<br />Location
<br />
<br />/
<br />
<br />/
<br />
<br />Subd.
<br />
<br />Classification/Type of Use
<br />
<br />TRANSPORTATION IMPACT FEE CALCULATION
<br />
<br />EXEMPT D
<br />
<br />Rate $
<br />
<br />Zone No.
<br />
<br />Sq. Ft./U nit
<br />
<br />Prepared By
<br />
<br />Impact Fee Amount $
<br />
<br />. ....~--..,,, -
<br />
<br />.-,,..-
<br />
<br />The above impact fee has b~en'esUlblished pursuant to thePasco~ounty Transportation Impact Ordinance as adopted
<br />by the Board of County Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy
<br />or authority to utilize the permitted structure.
<br />
<br />RESOURCE RECOVERY ASSESSMENT
<br />
<br />EXEMPT D
<br />
<br />RESIDENTIAL
<br />
<br />NONRESIDENTIAL
<br />
<br />No. Units
<br />
<br />I
<br />
<br />Gross Sq. Ft. (GSF)
<br />
<br />Rate/ERU - 50.00 x 0.96*/Year
<br />or $0. 1315/Day
<br />
<br />ERU Assign No.
<br />
<br />Assessment - (No. Units) x ($0.1315)
<br />x (No. Days)
<br />
<br />Assessment -
<br />(GSF) x (ERU) X (0.1315) x (No. Days)
<br />100
<br />
<br />TOTAL FEE $
<br />
<br />",..
<br />
<br />TOTAL FEE $
<br />
<br />*Discounted for Prepayment
<br />
<br />The above assessment has been established pursuant to the Pasco County Ordinance No. 89-07 and Resolution No. 89-197,
<br />as commended.
<br />THE ASSESSMENT WILL BE CALCULATED AT THE TIME OF ISSUANCE OF THE CERTIFICATE OF
<br />OCCUPANCY.
<br />
<br />NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL mE AMOUNTS LISTED
<br />HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OmCE OF PASCO COUNTY,
<br />
<br />Acknowledgement 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 USE ONLY
<br />
<br />TRANSPORTATION REC. NO.
<br />RESOURCE RECOVERY REC. NO.
<br />
<br />:' .I
<br />
<br />DATE
<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 />feecal:ce
<br />
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