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<br />'t"l.O <br /> <br />r ~i <br /> <br /> <br />PASCO COUNTY. FLORIDA <br /> <br />- <br /> <br />Permit No. <br /> <br />Date Permitted _ <br /> <br />Builder Name/Owner Name <br /> <br />--~"--- <br /> <br />County Parcel No. <br /> <br />Address/Location <br /> <br />Subd. <br /> <br />ClassificationfType of Use <br /> <br />How Determined <br /> <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 />No. Units <br /> <br />/ <br /> <br />NONRESIDENTIAL <br /> <br />Gross Sq, Ft. (GSF) <br /> <br />Ratc ERL' - 5J,OO/Ycar <br />or SO.I~2IDav <br /> <br />ERU ASSign No. <br /> <br />Asscssmcnt - (No Units) x ($O.I~21 <br />x (No Days) <br /> <br />Assessment - <br />(GSF) x (ERU) x (0 1~2) x (No. Days) <br />100 <br /> <br />TOT AL FEE $ <br /> <br />.. iff/" <br /> <br />TOTAL FEE $ <br /> <br />NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED VNTlL 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. hut simply rCL'l'lpt 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 />"~riJ ~ <br /> <br />OFfICE L'SE ONLY <br /> <br />TRANSPORTATION REC. NO. <br /> <br />RESOURCE RECOVERY REC. NO. <br /> <br />,DATE <br /> <br />DATE <br /> <br />BY <br /> <br />BY <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 />Bldgllnsp <br /> <br />feecal"ce <br /> <br />PC93113094/D <br />