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<br />PASCO COUNTYtt FLORIDA
<br />
<br />Permit Nu,
<br />
<br />/' :/,%,
<br />~- J-
<br />
<br />Date Permitted _
<br />
<br />Builder NamelOwner Name
<br />
<br />J'-.
<br />
<br />,,,,4
<br />
<br />County Parcel No,
<br />
<br />AddresslLocation
<br />
<br />Subd,
<br />
<br />--"
<br />
<br />",
<br />
<br />Classificationffype of Use
<br />
<br />.J"'
<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 />Prl?pared 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 />/
<br />/
<br />
<br />NONRESIDENTIAL
<br />
<br />....
<br />
<br />No, Units
<br />
<br />Gross Sq, Ft. (GSF)
<br />
<br />Ratc ERL: - 52,OO/Year
<br />or $0, 142/Oa)'
<br />
<br />ERU Assign Nu,
<br />
<br />Asscssmcnt
<br />
<br />(No Units) x ($0,142)
<br />\ (No, Days)
<br />
<br />Assessment -
<br />(GSF) x (ERUl x (0,142) x (No, Days)
<br />100
<br />
<br />TOTAL FEE $
<br />
<br />(
<br />
<br />TOTAL FEE $ _
<br />
<br />NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED l!NTIL THE AMOUNTS LISTED
<br />HA VE BEEN 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 recclpt 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 />
<br />Date
<br />
<br />Received By
<br />
<br />OFFICE l'SE ONLY
<br />
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<br />',_ i
<br />
<br />DATE
<br />DATE,,'.,.
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<br />TRANSPORTATION REC. NO,
<br />RESOURCE RECOVERY REC. NO:' (\"'l '
<br />
<br />BY
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<br />j fl.,
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<br />By~/'.,
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<br />
<br />While
<br />Applicant
<br />
<br />Canary
<br />Trans/Finance
<br />
<br />Canary
<br />RR/Flnance
<br />
<br />Pink
<br />Office
<br />
<br />Green
<br />Bldg/lnsp
<br />
<br />teecalce
<br />
<br />PC93113094/D
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