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<br />"". 1'.:-,' ~'f:';'~i't':~~ <br /> <br /> <br />PASCO COUNTY~ FLORIDA <br /> <br />....~', ",~ <br /> <br />Permit Nu, <br /> <br />Date Permitted. <br /> <br />'" l' <br />I <br />,/ <br /> <br />Builder Name/Owner Name <br /> <br />,1,. i <br /> <br />; ,-... <br /> <br />... <br /> <br />County Parcel No. <br /> <br />e /. <br /> <br />,if <br /> <br />AddressILocation <br /> <br />)' <br />s <br /> <br />Subd. <br /> <br />~~......., <br /> <br />ClassificationfType of Use <br /> <br />How Determined <br /> <br />TRANSPORTATION IMPACT FEE CALCULATION <br /> <br />EXEMPT 0 <br /> <br />Why? <br /> <br />Zone No. <br /> <br />-~>' <br /> <br />Rate $ <br /> <br />~;-r- <br /> <br />/ <br /> <br />!J:epaf~d By <br />Checked By <br /> <br />Sq, FtlUnit <br /> <br />Impact Fee Amount $ <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 />, <br /> <br />Gross Sq. Ft. (GSF) <br /> <br />RJ.tc ERL: - <br /> <br />52,OO/YcJ.f <br />Of SO, I 42/DJ.Y <br /> <br />ERU ASSign No, <br /> <br />ASscssfllcnl- (No Units) x (SO 1421 <br />x (No, DJ.ysl <br /> <br />Assessment - <br />(GSF) x (ERU) x (0142) x (No. Days) <br />100 <br /> <br />--- <br /> <br />TOTAL FEE $ <br /> <br />TOTAL FEE $ <br /> <br />NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSVED l!NTIL THE AMOUNTS LISTED <br />HA VE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY. <br /> <br />Acknowiedgement below docs not imply acceptance of concurrence. hut Simply recclpt uf J. copy of this form. placing <br />the huilding permit owner on notice of thi;; assessment and the conditions of payment for same, <br /> <br />Date <br /> <br />Received By <br /> <br />OFFICE L'SE ONLY <br /> <br />TRANSPORTATION REC. NO, <br />RESOURCE RECOVERY REC. NO, )4~.::.~:., ~\: <br /> <br />DATE - BY'.' 1 <br />':)..('IC~ DATE-=rr}ltJ' },'il_ BY /(, ~.Lb <br /> <br />White <br />Applicant <br /> <br />Canary <br />Trans/Finance <br /> <br />Canary <br />RRIFlnance <br /> <br />Pink <br />Office <br /> <br />Green <br />Bldg/lnsp <br /> <br />feecal'ce <br /> <br />PC93113094/D <br />