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<br />PASCO COUNTY, FLORIDA
<br />
<br />Permit No,
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<br />
<br />Date Permitted
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<br />Builde, Name/Owner Name ,;,; ~ J/ 'bj-'-" '-.f · IA ., d-iA..J..'
<br />County Parcel No. (~) ,:;. - 2. 6. - :1/-- 014-,0::" ')(,,) 000 - () 7'7C;J
<br />
<br />Location
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<br />3 7//) >(
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<br />Subd.
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<br />Classification/Type of Use \....../1~../) t ~'~ _ '".,:'+ ~,' i ,d~ \, I; .//--I.-(..-/;:l v) olJ
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<br />TRANSPORTATION IMPACT FEE CALCULATION / EXEMPT 0
<br />
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<br />Rate $ Zone No. ,//
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<br />/ /
<br />Sq. Ft./Unit _~// Prepared /-/
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<br />Impact Fee Amount $ /'
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<br />The above impactffi has been established pursuant to the Pasco Cg. y Transportation Impact Ordinance as adopted
<br />by the Board /OYCounty Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy
<br />or auth~10 utilize the permitted structure.
<br />
<br />RES6uRCE RECOVERY ASSESSMENT EXEMPT 0 _
<br />
<br />RESIDENTIAL
<br />
<br />NONRESIDENTIAL
<br />
<br />No. Units
<br />
<br />/
<br />
<br />Gross Sq. Ft. (GSF)
<br />
<br />Rate/ERU - 50,OO/Year
<br />or $0. 137/Day
<br />
<br />ERU Assign No,
<br />
<br />Assessment - (No, Units) x ($0,137)
<br />x (No. Da):s)
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<br />
<br />Assessment -
<br />(GSF) x (ERU) X (0,137) x (No. Days)
<br />100
<br />
<br />TOTAL FEE $
<br />
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<br />
<br />TOT AL FEE $
<br />
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<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 />OFFICE USE ONLY
<br />
<br />TRANSPORTATION REC. NO.
<br />RESOURCE RECOVERY REC. NO:?..:>""/~) -::5
<br />
<br />DATE
<br />DATE
<br />
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<br />BY
<br />BY
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<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 />BldiJlnsp ,
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<br />PC93113094/A
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