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<br />PASCO COUNTY, FLORIDA
<br />
<br />, -- ,) /-7 ) 1-',
<br />Permit No, ~~I ,:<.....-I
<br />,
<br />
<br />Date Permitted _~~2 'l - 1 (~
<br />
<br />Builder Name/Owner Name
<br />
<br />-"~I
<br />I .,i .
<br />
<br />'-'-.,-,.,.~,; I,,':<_~
<br />
<br />County Parcel No.
<br />
<br />,/ ./ ....
<br />
<br />'~/ I -
<br />
<br />" It,
<br />
<br />,-' :'1/ ' />
<br />
<br />,~-, ^:~)
<br />
<br />Location
<br />
<br />"",' ..r-'~
<br />/)
<br />
<br />Subd,
<br />
<br />Classification/Type of Use
<br />
<br />TRANSPORTATION IMPACT FEE CALCULATION
<br />
<br />EXEMPT D
<br />
<br />""~ '
<br />
<br />~_./
<br />
<br />.' "
<br />
<br />
<br />Rate $
<br />
<br />Zone No,
<br />
<br />Sy, Ft./Unit
<br />Impact Fee AmquHt"'$'
<br />
<br />The above impact tee has been established pursuant to the Pasco County 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 />Gross Sq. Ft. (GSF)
<br />
<br />(,'J 170
<br />
<br />Rate/ERU - 52.00/Year
<br />or $0. I 42/Day
<br />
<br />ERU Assign No.
<br />
<br />Assessment - (No, Units) x ($0,142)
<br />x (No, Days)
<br />
<br />TOTAL FEE $ /7 1 (/
<br />
<br />Assessment -
<br />(GSF) x (ERU) x (0.142) x (No. Days)
<br />100
<br />
<br />TOTAL FEE $
<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 />HA VE 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 />"
<br />
<br />Received By
<br />
<br />-----.---------------------------------------------------------------------------------------------------------------------------------------------
<br />
<br />'1
<br />
<br />OFFICE USE ONLY
<br />
<br />TRANSPORTATION REC. NO.
<br />
<br />RESOURCE RECOVERY REC. NO.
<br />
<br />,'< ,c" /' '~~'i". ..
<br />.
<br />
<br />DATE
<br />
<br />DATE
<br />
<br />BY
<br />
<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 />;!
<br />i
<br />I
<br />I
<br />1
<br />
<br />feecal:ce
<br />PC93113094/A
<br />
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