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PASCO COUNTY~ FLORIDA Builder Name/Owner Name Date Permitted P .3 ~s Il I - ,5--- --- 9 p/ Permit No. County Parcel No. ;L Y - d-b -:J../ - /) LJD-tJ. tJ iJ) 0 0 - Local;on <J'~~~'i '7 tI----<1A ~ _ Classification/Type of use~, .L..c1.A cL1~ ./ TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Rate $ Zone No. Sq. Ft./Unit Prepared By Impact Fee Amount $ ____ .0....-.....0 ~--.-~--- The above impact fee has been establish is;;;nt to the Pasco COUlilyTransportation Impact Ordinance as adopted by the Board of County Commis' rs. This amount is payable PRIOR to the issuance of a Certificate of Occupancy ltted structure. RESOURCE RE VERY ASSESSMENT EXEMPT 0 RESIDENTIAL NONRESIDENTIAL No. Units I . Gross Sq. Ft. (GSF) Rate/ERU - 52.00/Year or $0. 1 42/Day ERU Assign No. Assessment - (No. Units) x ($0.142) x (No. Days) j- ~ _ () CJ Assessment - (GSF) x (ERU) x (0.142) x (No. Days) 100 TOTAL FEE $ TOTAL 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 HA VE 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 TRANSPORTATION REC. NO. RESOURCE RECOVERY REC. NO. 3: It 7 ,I J '7 DATE DATE~_ 9 ~ BY BY White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldg/lnsp feecal:ce PC93113094/A