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<br />PASCO COUNTY.. FLORIDA
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<br />.... ,.,....
<br />Permit No, ~ .} 0
<br />Date Permitted _ (, 1(-, / u;)
<br />
<br />Builder Name/Owner Name (, ,,' t (.I
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<br />County Parcel No,
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<br />Address/Location i)}" i
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<br />Subd, (,' II.-"" ,"'i.j.. i~
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<br />Classificationffype of Use
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<br />ry
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<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 />Prepared By
<br />..-...".
<br />.....-
<br />Ch~k€d By
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<br />
<br />Sq, Ft/Unit
<br />
<br />Impact Fee Amount $
<br />
<br />.,.,.../ ,,<'
<br />The above impas;!-f€'e has been established pursuant to the Pasco Courtly Transportation Impact Ordinance as adopted by the
<br />Board of ~G;' County Commissioners, This amount is payable PRIOR to the issuance of a Certificate of Occupancy or
<br />utiliz~n of the permitted structure,
<br />
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<br />
<br />.,RESOURCE RECOVERY ASSESSMENT
<br />
<br />EXE~lPT 0
<br />
<br />RESIDENTIAL
<br />
<br />NONRESIDENTIAL
<br />
<br />No, Units
<br />
<br />Gross Sq, Ft. (GSF)
<br />
<br />RJtc ERl:
<br />
<br />5200/YcJr
<br />or SO,I.+2IDJ)'
<br />
<br />ERU ASSIgn No,
<br />
<br />Assessmcnt - (~o Units) x (SO 1.+21
<br />\ (No, DJ)'sl
<br />
<br />"~"",",,,.
<br />
<br />Assessment -
<br />(GSF) x (ERU) \ (01.+2) x (No, Days)
<br />100
<br />
<br />..-
<br />
<br />TOT AL FEE $
<br />
<br />TOT AL FEE $
<br />
<br />NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSl:ED l'NTIL THE AMOUNTS LISTED
<br />HA VE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY.
<br />
<br />Acknowledgement below docs not imply acceptance of concurrence, hut Simply rCCcIpt nf 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 />-:'1
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<br />
<br />DATE
<br />J DATE
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<br />BY
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<br />BY
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<br />TRANSPORTATION REC NO,
<br />RESOURCE RECOVERY REC NO,
<br />
<br />,.,...-".---
<br />
<br />id;jr....." 'I
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<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 />feecalce
<br />
<br />PC93113094/D
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