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<br />
<br />
<br />PASCO COUNTY~ FLORIDA
<br />:fl)~/tl3/~
<br />Permit Nu. Cj 0 ? J
<br />Date Pc rmitted i r (1 (, I (:, '1
<br />
<br />Builder Name/Owner Name
<br />
<br />, '
<br />\,/ 0 :
<br />
<br />/
<br />\ .,,' : J..
<br />
<br />County Parcel No.
<br />
<br />..., "\ .
<br />{I :7' ..; I.~
<br />
<br />'1 .
<br />L I...!i l"
<br />
<br />2 r. ... ()) UO. O..X')Cr)-
<br />l.!) I.. v: II \;. 0 "
<br />
<br />n J l,., 0_
<br />
<br />Address/Location
<br />
<br />Subd., it .
<br />
<br />,_'" ,,1
<br />
<br />'I
<br />(,,- I'd;)
<br />
<br />Classificationffype of Use
<br />
<br />':' . I c'
<br />)<1' {\( 1)'/
<br />l
<br />
<br />~.
<br />1'0'"
<br />
<br />1./
<br />,
<br />
<br />f'\, . v II
<br />.,.."" -' .
<br />
<br />,.,c
<br />I
<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, FtlUnit
<br />
<br />Prepared By
<br />
<br />Impact Fee Amount $
<br />
<br />Checked By
<br />
<br />,.,-'
<br />
<br />The above impact fee has be~rrshed pursuant to the Pasco County Transportation Impact Ordinance as adopted by the
<br />Board of Pasco Co~;-mmissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or
<br />utilization oJ~ermitted structure.
<br />
<br />RE~E RECOVERY ASSESSMENT EXEMPT 0
<br />",...,"
<br />
<br />RESIDENTIAL
<br />
<br />NONRESIDENTIAL
<br />
<br />No. Units
<br />
<br />I
<br />
<br />Gross Sq. Ft. (GSF)
<br />
<br />RJ.(C ERL:
<br />
<br />5~,()0!YeJ.r
<br />nr $0, 14~!DJ.Y
<br />
<br />ERU Assign No.
<br />
<br />Assc"mcnt- (!\in Units), ($O.14~)
<br />.x (No. OJ.ys)
<br />
<br />Assessment -
<br />(GSF) _, (ERU) , (O.14~) x (No, Days)
<br />100
<br />
<br />TOT AL FEE $
<br />
<br />q, q-Z
<br />
<br />TOTAL FEE $
<br />
<br />NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED VNTIL THE AMOUNTS LISTED
<br />HA VE 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 huilding permit owner on notice of this 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, ~?::f4 c1
<br />RESOURCE RECOVERY REC. NO, 9
<br />,
<br />
<br />.~ ~
<br />D~:~E(~-~p-BBYY __ --
<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 />, '~calce
<br />
<br />C93113094/D
<br />
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