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<br />~ fI'I"T".'i <br /> <br />(-----\ <br />",-j <br /> <br />/~\ <br />\J <br /> <br /> <br />"~'>->-~""''''''~ .. <br /> <br />PASCO COUNTY, FLORIDA <br /> <br />......., f <br />' I .' <br />Permit No, , 10 () , <br />Date Permitted-7 II? I flu <br /> <br />~iiit't <br /> <br />Builder Name/Owner Name k I,... r'.t. " <br />, <br /> <br />/ <br />t (..; '1 ) 1 , <br /> <br />County Parcel No. <br /> <br />i Cl , <br /> <br />(.., <br /> <br />~ 1, !;J ~..J <br /> <br />()f~.jO'~ ,) ..... <br /> <br />(~ <br />I ''1 ()O <br /> <br />Address/Location <br /> <br />-~ 'L <br />j') j " <br /> <br />'l <br />f '" ' <br /> <br />i ., f' <br /> <br />i} . <br /> <br />Subd. <br /> <br />(v,"I'~ <br /> <br />I I <br />, " <br /> <br />I> <br /> <br />;,t <br /> <br />Classificationffype of Use <br /> <br /><- <br />"; <br /> <br />I <br />.f ~ ~., <br />') , <br /> <br />.r" <br />;""t, .-1 ' L./ <br />, <br /> <br />I), , ,v II./~) <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 />.- <br /> <br />Sq. FtlUnit Prepared By .///' <br /> <br />Impact Fee Amo~/ c~ <br />/ ~ <br />The above jr1Pact fee has been established p~rsuant to t~e'Pasco cou, nty;rranSpo~ation Impact Ord~nance as adopted by the <br />Board ~asco County Commissioners. ThiS amount IS payable PJ3.r6R to the Issuance of a Certificate of Occupancy or <br />uti~ion of the permitted structure. <br /> <br />/"RESOURCE RECOVERY ASSESSMENT EXEMPT 0 <br /> <br />RESIDENTIAL <br /> <br />NONRESIDENTIAL <br /> <br />No. Units <br /> <br />( <br /> <br />Gross Sq. Ft. (GSF) <br /> <br />Ratc ERL: - 52,OO/Year <br />or 50, 1 42/Oa) <br /> <br />ERU ASSIgn No, <br /> <br />Asscssment - (No Units) x ($0,142) <br />x (No, Days) <br /> <br />Assessment - <br />(GSF) x (ERU) x (0,\42) x (No, Days) <br />\00 <br /> <br />TOTAL FEE $ <br /> <br />TOTAL FEE $ <br /> <br />.' <br /> <br />NO CERTIFICA TE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED <br />HA VE BEDI PAID AND RECEIPTED FOR BY A CENTRAL PERMITTI~G OFFICE OF PASCO COUNTY. <br /> <br />Acknowledgement below does not imply acceptance of concurrence. but simply reccipt 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 />----- ------------------------------------------------------------------------------------------------------- <br /> <br />-------------------------------------- <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 />Bldg/lnsp <br /> <br />feecalce <br /> <br />PC93113094/D <br />