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<br />
<br />
<br />PASCO COUNTY~ FLORIDA
<br />
<br />Permit No.
<br />
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<br />
<br />Date Permitted
<br />
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<br />
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<br />
<br />Builder NamelOwner Name
<br />
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<br />
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<br />
<br />County Parcel No.
<br />
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<br />
<br />Address/Location
<br />
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<br />
<br />01' . '-'^; ~
<br />
<br />Subd.
<br />
<br />Classificationffype of Use
<br />
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<br />
<br />,,:.'1.
<br />
<br />How Determined
<br />
<br />TRANSPORTATION IMPACT FEE CALCULATION
<br />
<br />EXEMPT 0
<br />
<br />Why?
<br />
<br />Rate $
<br />
<br />Zone No.
<br />
<br />Sq. FtfUnit
<br />
<br />Prepared By
<br />
<br />Impact Fee Amount $
<br />
<br />Checked By
<br />
<br />The above impact fee has been established pursuant to the Pasco County Transportation Impact Ordinance as adopted by the
<br />Board of Pasco County Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or
<br />utilization of the permitted structure.
<br />
<br />RESOURCE RECOVERY ASSESSMENT
<br />
<br />EXEMPT 0
<br />
<br />RESIDENTIAL
<br />
<br />NONRESIDENTIAL
<br />
<br />No. Units
<br />
<br />/
<br />
<br />Gross Sq. Ft. (GSF)
<br />
<br />Rate ERU - 52.00/Year
<br />or $O,I~2/Day
<br />
<br />ERU Assign No.
<br />
<br />Asse~~Tl1ent - (No Units) x ($0,142)
<br />\ (No, Days)
<br />
<br />Assessment -
<br />(GSF) _x (ERU) x ({),142) x (No. Days)
<br />100
<br />
<br />TOTAL FEE $
<br />
<br />TOTAL FEE $
<br />
<br />NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED l!NTIL THE AMOUNTS LISTED
<br />HA VE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTI~G OFFICE OF PASCO COUNTY.
<br />
<br />Acknowiedgement below does not imply acceptance of concurrence. but simply receipt uf a copy of this form. placing
<br />the huilding permit owner on notice of this assessment and the conditions of payment for same,
<br />
<br />Date
<br />
<br />Received By
<br />
<br />----- -----------------------------------------------------------------------------------------------------------------
<br />
<br />OFFICE l'SE ONLY
<br />
<br />TRANSPORTATION REC. NO,
<br />
<br />RESOURCE RECOVERY REC. NO.
<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 />Bldg/lnsp
<br />
<br />feecalce
<br />
<br />PC93113094/D
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