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PASCO COUNTY, FLORIDA Permit No. '^ ?b 'I A Builde, Name/Owne, ~ame <t3~ 7/.&114-,2 County Parcel No. 3.'d6~/- O);LA - 0 e>at3 0 Location !,:1tJ;:) . -Lk- &~ ~./L-- Classification/Type of Use X~dU k LtJ Date Permitted J;;J. ~,2 c:J .-)? -& - CJ CJcf- 0 Subd" TRANSPORTATION IMPACT FEE CALCULATION EXEMPT D Rate $ Zone No. Sq" Ft"/Unit - Prepared By Impact Fee Amount $ The above impact fee has b established pursuant to the Pasco County Transportation Impact Ordinance as adopted by the Board of Coun ommissioners" This amount is payable PRIOR to the issuance of a Certificate of Occupancy or authority to u " " e the permitted structure. RESOU EXEMPT D RESIDENTIAL NONRESIDENTIAL No. Units I Gross Sq. Ft. (GSF) Rate/ERU - 52 "OO/Year or $O"142/Day ERU Assign No. TOTAL FEE $ "JL/ Assessment - (GSF) x (ERU) x (0.142) x (No" Days) 100 Assessment - (No" Units) x ($0"142) x (No" Days) 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. Acknowiedgement 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 TRANSPORT A TION REC. NO" RESOURCE RECOVERY REC. NO. DATE .5 0701-3 DATE /2 -..?/-7~ BY BY Au White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldgllnsp feecal:ce PC931130941 A