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PASCO COUNTY, FLORIDA Permit No. h 2--!J-'1 A )J -/Y -fib Date Permitted Buildc, Name/Owner Nam~ ~~ fJ;~~ County Parcel No. ~ -~->> -t?t1clc:J - t)t)3~t:J - 0 tJ J--o Location c.377....s-o &d:K~ Subd. r-/) /1 . /J ...J-- /J ClassificationlType of Use ~!::.~ ---~- TRANSPORTATION IMPACT FEE CALCULATION EXEMPT D Rate $ Zone No. Sq. Ft.lUnit Prepared By Impact Fee Amount $ The above impact fee has be stablished pursuant to the Pasco Coun ransportation Impact Ordinance as adopted by the Board of County mmissioners. This amount is payable PRIOR to t '. 'uance of a Certificate of Occupancy the permitted structure. ..... EXEMPT D RESIDENTIAL NONRESIDENTIAL No. Units I Gross Sq. Ft. (GSF) RatelERU - 52.001Year or $0. I 42/Day ERU Assign No. _ Assessment - (No. Units) x ($0.142) x (~~. 3:~ 1 TOT AL FEE $ '-\ Assessment - (GSF) _x (ERU) x (0.142) x (No. Days) 100 TOT AL FEE $ __ The above assessment has been established pursuant to the Pasco County Ordinance No. 89-07 and Resolution No. 89-197, as commended. THE ASSESSMENT WILL BE CALCULATED AT THE TIME OF ISSUANCE OF THE CERTIFICATE OF OCCUPANCY. NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY. Acknowledgement below does not imply acceptance of concurrence, but simply receipt of a copy of this form, placing the building permit owner on notice of this assessment and the conditions of payment for same. Date Received By OFFICE USE ONLY TRANSPORTATION REC. NO. DATE RESOURCE RECOVERY REC. NO~DATE BY BY White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green BJdgllnsp feecal:ce PC931130941 A