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<br />~.~~~. ;~1":;;;; .,. "".~. <br /> <br />! -F., <br /> <br /> <br />PASCO COUNTYlt FLORIDA <br /> <br />\ <br />I <br />~ermit No. <br /> <br />I <br />,?ate Permitted _ <br /> <br />Builder Name/Owner Name <br /> <br />County Parcel No, <br /> <br />-- <br /> <br />Address/Location <br /> <br />I <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 />Gross Sq. Ft. (GSF) <br /> <br />RJte ERl: <br /> <br />52.00/YeJr <br />or SO.I.+2IDay <br /> <br />ERU Assign No, . .::..4.... <br /> <br />L-M ''-('i, f';t~~. <br />Assessment - <br />(GSF) x (ERU) x (01.+21 x (No, Days) <br />IO() <br /> <br />Assessment - (]\;o. Units) x ($01.+21 <br />x (No. Days) <br /> <br />TOTAL FEE $ <br /> <br />fOTAl 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 />Acknowiedgement below docs not imply acceptance of concurrence. hut Simply recclpt of a copy of this form, placing <br />the huildmg 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. <br /> <br />RESOURCE RECOVERY REC NO. <br /> <br />.~ ....> ,. . \ I ,,) <br /> <br />DATE <br /> <br />DATE <br /> <br />BY <br /> <br />. ,~ <br /> <br />BY <br /> <br />;:#!,. <br />'/1 <br />\~...-/ <br /> <br />White <br />Applicant <br /> <br />Canary <br />Trans/Finance <br /> <br />Canary <br />RR/Flnance <br /> <br />Pink <br />Office <br /> <br />Green <br />Bldg/lnsp <br /> <br />feecalce <br /> <br />PC93113094/D <br />