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<br />
<br />'eAseD COUNTY, FLORIDA
<br />
<br />Permit Nu,
<br />
<br />",
<br />'"
<br />
<br />Date Permitted
<br />
<br />Builder Name/Owner Name
<br />
<br />County Parcel No.
<br />
<br />Address/Location
<br />
<br />Subd,
<br />
<br />Classificationffype of Use
<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 />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 />i
<br />
<br />Gross Sq, Ft. (GSF)
<br />
<br />Rale ERL' - 52.00/Year
<br />()r $0.1.+2/Oay
<br />
<br />ERU Assign No,
<br />
<br />AssessTllent .~ (No. Units) x ($0,142)
<br />x (No, Days)
<br />
<br />Assessment -
<br />(GSF) x (ERU) x (0.142) x (No, Days)
<br />100
<br />
<br />TOT AL FEE $
<br />
<br />TOTAL FEE $
<br />
<br />The above assessment has been established pursuant to the Pasco County Ordinance No, 89-07 and R"esolution 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 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 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 />----- ----------------------------------------------------------------------------------------------------------------
<br />
<br />OFFICE CSE ONL Y
<br />
<br />TRANSPORTATION REC. NO,
<br />
<br />RESOURCE RECOVERY REC. NO,
<br />
<br />DATE
<br />
<br />DATE
<br />
<br />BY
<br />BY
<br />
<br />White
<br />Applicant
<br />
<br />CanafY
<br />Trans/Finance
<br />
<br />Canary
<br />RR/Flnance
<br />
<br />Pink
<br />Office
<br />
<br />Green
<br />Bldg/lnsp
<br />
<br />teecal:ce
<br />PC93113094/C
<br />
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