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<br />- .-.....~_._~_.._~'__~.:.~___'.J,"'_......~. _'._ ~_ ,'_Y'._ <br /> <br />. /~J; <br /> <br />- <br /> <br /> <br />PASCO COUNTY. FLORIDA <br /> <br />Date Pcrmitted <br /> <br />" , <br />-'1 '_I :1 7} <br />J ' <br />'). / .;.' ",' <br /> <br />J <br />.f <br />IV\." <br /> <br />Permit No, <br /> <br />Builder Name/Owner Name <br /> <br /> <br />; ~ <br /> <br />County Parcel No. <br />Address/Location (:; 'I <br /> <br />>., <br /> <br />. <br />..' ,~,./ <br /> <br />, " .,1'1 <br /> <br />','1.' <, <br /> <br />/, t..~. { ? <br /> <br />Subd. <br /> <br />L" <br /> <br />.('-~;~:::"'.- <br />.:"",,,j-, <br /> <br />", <br /> <br />ClassificationfType of Use <br /> <br /> <br />i; <br /> <br />II, <br /> <br /> <br />" .'" <br /> <br />How Determined <br /> <br />TRANSPORTATION IMPACT FEE CALCULATION <br /> <br />EXEMPT 0 <br /> <br />Why? <br /> <br />, ' <br /> <br />.".IT <br /> <br />Rate $ <br /> <br />Zone,)(o:' <br /> <br />Impact Fee Amount $ <br /> <br />-' <br />~!"" <br />/Prepared By <br />Checked By <br /> <br />Sq. Ft/Unit <br /> <br />...""- <br /> <br />The above impact fec;.has been established pursuant to the Pasco County Transportation Impact Ordinance as adopted by the <br />Board of Pasco,.,eo~nty Commissioners. This amount is payable PRIOR to the issuance of a Celtificate of Occupancy or <br />utilization oi111e permitted structure. <br />/' <br />~,.,. <br />RES9t:rRCE RECOVERY ASSESSMENT EXEMPT 0 <br /> <br />RESIDENTIAL <br /> <br />NONRESIDENTIAL <br /> <br />No. Units <br /> <br />} <br /> <br />Gross Sq. Ft. (GSF) <br /> <br />Rate ERl' - 5200/Year <br />or SO,l421Day <br /> <br />ERU Assign No, <br /> <br />A:--se:--sfllent - ([\io, Units), ($0,142) <br />'( (No, Day:--) <br /> <br />Assessment - <br />(GSF)_, (ERU) , (0,142) x (No, Days) <br />100 <br /> <br />TOTAL FEE $ <br /> <br />......... <br /> <br />I <br />j <br /> <br />TOT AL FEE $ <br /> <br />NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED <br />HA VE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTI~G 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 huilding 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 />------------------------------------ <br /> <br />OFFICE L'SE ONLY <br /> <br />TRANSPORT A nON REC. NO, <br /> <br />RESOURCE RECOVERY REC. NO, <br /> <br />DATE <br /> <br />DATE <br /> <br />BY <br /> <br />BY~ <br /> <br />..l <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 />Bldgllnsp <br /> <br />feecalce <br /> <br />PC93113094/D <br />