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<br />
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<br />PASCO COUNTY, FLORIDA
<br />
<br />Date Permitted
<br />
<br />,-/ lii/ /3
<br />}'- :2 9 - '14
<br />
<br />Permit No.
<br />
<br />Builder Name/Owner Name
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<br />County Parcel No. ,//
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<br />Subd.
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<br />Classification/Type of Use
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<br />
<br />TRANSPORTATION IMPACT FEE CALCULATION
<br />
<br />EXEMPT D
<br />
<br />Rate $
<br />
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<br />....r
<br />"",-
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<br />
<br />Zone No.
<br />
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<br />/
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<br />
<br />*"
<br />
<br />.....
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<br />
<br />Prepared By
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<br />
<br />Sq. Ft./Unit
<br />
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<br />
<br />Impact Fee Amount $
<br />
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<br />
<br />The above impact fe<!"'has been established pursuant to the Pasco County Transp ation Impact Ordinance as adopted
<br />by the Board ~..county Commissioners. This amount is payable PRIOR to th ssuance of a Certificate of Occupancy
<br />or au~~;!.w'lO utilize the permitted structure. /'
<br />
<br />RESbuRCE RECOVERY ASSESSMENT /EXEMPT D
<br />",,'
<br />
<br />RESIDENTIAL
<br />
<br />NONRESIDENTIAL
<br />
<br />No. Units
<br />
<br />Gross Sq. Ft. (GSF) :-j, il/ul
<br />.'15
<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 />TOTAL FEE $
<br />
<br />:3,(/ 1 \-~'_
<br />i'F1;
<br />
<br />'1
<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 THE AMOUNTS LISTED
<br />HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE 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 />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 />Bldgllnsp
<br />
<br />feecal:ce
<br />
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