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<br /> <br />PASCO COUNTY~ FLORIDA <br /> <br />Permit Nu. <br /> <br />,....") <br />~1 S <br /> <br />?7 <br />I J / <br />b II] /v ;) <br /> <br />Date Permitted <br /> <br />Builder Name/Owner Name <br /> <br />LeV ] <br /> <br />L <br /> <br />T r., <br />... <br /> <br />') ., <br />County Parcel No. _ () l' ." (" ",' <br /> <br />:,.' ) 0 :; . (j v":"-\..-h.J " <br /> <br />() .~ I) <br /> <br />-:r ~') p <br />Address/Location :. .' (,.1 U I . '-.' ~ <br /> <br />Classificationffype of Use (-, "L; 'p. <br /> <br />, .~ ~4 r <br /> <br />If t j' (I /tit" <br />I ,/ i)t-.,i? 1/: . .~:,. <br /> <br />Subd. <br /> <br />~~,.. J <br />). 11.1 '27/ <br /> <br />fj , ( <br /> <br />, /. II <br />!~,/t . .~ <br /> <br />F' <br />( ("~. <br /> <br />How Determined <br /> <br />TRANSPORTATION IMPACT FEE CALCULATION <br /> <br />EXEMPT 0 <br /> <br />Why? <br /> <br />Rate $ <br /> <br />,.- <br /> <br />Zone No. <br /> <br />/" <br /> <br />.// <br /> <br />Prepared By <br /> <br />Sq. Ft/Unit <br /> <br />/'~ <br />"-",,, <br /> <br />..r,-r" <br /> <br />Impact Fee Amount $ /....- Checked By <br />f""'.;"#"" . <br />.... <br />The above im.vac(fee has been established pursuant to the Pasco County Transportation Impact Ordinance as adopted by the <br />Board of ~co County Commissioners. This amount is payable PRLOR to the issuance of a Certificate of Occupancy or <br />uti~.~~~ of the permitted structure. <br /> <br />J&:SOURCE RECOVERY ASSESSMENT EXEMPT 0 <br />/ <br /> <br />\ RESIDENTIAL <br /> <br />! <br />! <br /> <br />NONRESIDENTIAL <br /> <br />No. Units <br /> <br />Gross Sq. Ft. (GSF) <br /> <br />Rate ERL: - 5200/Year <br />or $0.142/Oay <br /> <br />ERU Assign No. <br /> <br />A~~e~~Jllent- (No Unit~) x ($0.142) <br />x (No. Day~) <br /> <br />As~essment - <br />(GSF)x (ERU) x (0.142) x (No. Days) <br />100 <br /> <br />TOTAL FEE $ <br /> <br />I <br />, j <br /> <br />TOTAL 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 />Acknowledgement 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 />OFFICE L'SE ONLY <br /> <br />DATE <br /> <br />DATE <br /> <br />TRANSPORTATION REC. NO. <br />RESOURCE RECOVERY REC. NO. <br /> <br />BY <br />__ BY ~ <br /> <br />White <br />Applicant <br /> <br />Canary <br />Trans/Finance <br /> <br />Canary <br />RR/F.nance <br /> <br />Pink <br />Off.ce <br /> <br />Green <br />Bldg/lnsp <br /> <br />feecal'ce <br /> <br />PC93113094/D <br />