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<br />f'-:' ~~,.. '..,..".,.......,..... :~~.<' <br /> <br />a'..:~::~"~.., <br /> <br />..':...,,,- <br /> <br />,.; <br />y"", ..... .,.. <br /> <br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Date Permitted <br /> <br />')0,; <br />S I)K /01.) <br /> <br />Permit Nu. <br /> <br />Address/Location <br /> <br />-';t/- )~ <br />7;jS"'S1 <br /> <br />- I ," 'J <br />is' ~A .j..+ ,." 1'.( ( <br /> <br />) I . C.i() 1 0 - 0 ) ~' I.J O. <br />I~l ~ . <br /> <br />L.;)J If 0 <br /> <br />Builder NamelOwner Name <br /> <br />County Parcel No. <br /> <br />L 01 <br /> <br />.~) ;,'0; (,... <br /> <br />Subd. (,\ , I" ,/ <br /> <br />, { <br />i. 1::1/. <br /> <br />. <br />i;,.,,"':'- ~ >> <br /> <br />Classificationffype of Use <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 />Sq. Ft/Unit <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 />I <br /> <br />NONRESIDENTIAL <br /> <br />No. Units <br /> <br />Gross Sq. Ft. (GSF) <br /> <br />Rate ERL: <br /> <br />52.00/Year <br />or $0. I 42/Oay <br /> <br />ERU ASSign No. <br /> <br />AssessJllent - (No Units) x ($0 142) <br />\ (No, Days) <br /> <br />Assessment - <br />(GSF) x (ERU) x (0,142) x (No. Days) <br />100 <br /> <br />TOTAL FEE $ <br /> <br />j j ,I' <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 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 building 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 />~ ,~ ~" ~~ , . ',l <br /> <br />DATE <br /> <br />DATE <br /> <br />BY_ <br />i'-- BY --l- <br /> <br />White <br />Applicant <br /> <br />Canary <br />Trans/Finance <br /> <br />Canary <br />!lR/Finance <br /> <br />Pink <br />Office <br /> <br />Green <br />Bldg/lnsp <br /> <br />feecal'ce <br /> <br />PC93113094/D <br />