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<br />PASCO COUNTY, FLORIDA
<br />
<br />Permit No,
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<br />'~." 7
<br />
<br />Date Permitted
<br />
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<br />
<br />Builder Name/Owner Name
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<br />County Parcel No.
<br />
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<br />
<br />-
<br />
<br />Address/Location
<br />
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<br />
<br />,/1 f"
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<br />
<br />Subd.
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<br />
<br />Classificationffype of Use
<br />
<br />,:-4.
<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 />EXErv1PT 0
<br />
<br />RESIDENTIAL
<br />
<br />NONRESIDENTIAL
<br />
<br />No, Units
<br />
<br />/
<br />
<br />Gross Sq, Ft. (GSF)
<br />
<br />RJ.te ERl'
<br />
<br />52 ()()/YeJ.r
<br />or $O,142/Day
<br />
<br />ERU ASSign No,
<br />
<br />AssessTllent
<br />
<br />( No Li n its) x ($() 142 )
<br />\ (No, Days)
<br />
<br />Assessment -
<br />(GSF) x (ERU) x (O,142) x (No, Days)
<br />100
<br />
<br />TOTAL FEE $
<br />
<br />-
<br />
<br />TOTAL FEE $
<br />
<br />NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSlJED l!NTIL THE AMOUNTS LISTED
<br />HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTI~G OFFICE OF PASCO COUNTY.
<br />
<br />1
<br />
<br />Acknowiedgement below does not imply acceptance of concurrence. hut 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 />l~~'~'
<br />
<br />Date
<br />
<br />Received By
<br />
<br />-------------------------- -
<br />- --------------------------------
<br />
<br />OFFICE l'SE ONL Y
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<br />
<br />TRANSPORTATION REC. NO,
<br />RESOURCE RECOVERY REC. NO,
<br />
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<br />BY
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<br />
<br />BY
<br />
<br />White
<br />Applicant
<br />
<br />Canary
<br />Trans/Finance
<br />
<br />/ '/'
<br />
<br />"J.,.
<br />
<br />Canary
<br />RR/Finance
<br />
<br />Pink
<br />Office
<br />
<br />Green
<br />Bldg/lnsp
<br />
<br />feecalce
<br />
<br />PC93113094/D
<br />
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