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<br />PASCO COUNTY~ FLORIDA
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<br />Permit No,
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<br />Date Permitted
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<br />Builder Name/Owner Name
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<br />County Parcel No. ~/I
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<br />Location
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<br />Subd.
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<br />Classification/Type of Use
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<br />TRANSPORTATION IMPACT FEE CALCULATION
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<br />EXEMPT D
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<br />Rate $
<br />
<br />Zone No,
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<br />...-/.,
<br />Prepare9--BY ~
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<br />-,----
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<br />Sq. Ft./Unit
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<br />Impact Fee Amount $
<br />
<br />The above impact fee 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 />I
<br />
<br />/
<br />
<br />Gross Sq, Ft. (GSF) /
<br />,/
<br />ERU Assign N~
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<br />/
<br />Assessment ~
<br />(GSF) x ~U) x (0,142) x (No. Days)
<br />100/
<br />"
<br />
<br />Rate/ERU ~ 52.00/Year
<br />or $0.142/Day
<br />
<br />Assessment - (No. Units) x ($0.142)
<br />x (No. Days)
<br />
<br />TOT AL FEE $
<br />
<br />,/ -< '
<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.
<br />
<br />------'DATE
<br />/:?" . ,1' DATE
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<br />/ .:./.t'"
<br />
<br />BY
<br />
<br />BY
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<br />
<br />'..Ii'. "
<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 />Bldg/lnsp
<br />
<br />feecal:ce
<br />PC93113094/A
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