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<br />~ <br /> <br /> <br />3 <br /> <br />...A <br /> <br />.. <br /> <br />PASCO COUNTY. FLORIDA <br /> <br />Date Permitted <br /> <br />':")CJ "-1'1 <br />,f/G(ul <br /> <br />Permit No. <br /> <br />Builder Name/Owner Name <br /> <br />. 'T <br />tv1.L... ( <br /> <br />, t,"1 ;v ) <br /> <br />County Parcel No. ,. " )~" <br /> <br />Address/Location (.;,:> I. I t;.> <br />( <br /> <br />') I. ()) \,..'..,' o(..,<-v<.,..; - 0 I '\U <br /> <br />,.'\ (I , 'II n <br />, '" (~ \.i ~ y <br /> <br />...... <br />l)1' <br />I y i\ ' t" II. >5' <br /> <br />Subd, <br /> <br />~~' i <br />"I. ~ \ <br /> <br />, <br />C,);'., L J <br /> <br />, ' 1\ <br />. . t \ <br />'I I <br /> <br />:P <br /> <br />Classificationffype of Use <br /> <br />/", <br /> <br /><':.". ..."",.'~ <br /> <br />How Determined <br /> <br />TRANSPORTATION IMPACT FEE CALCULATION <br /> <br />EXEMPT 0 <br /> <br />Why? <br /> <br />Sq. Ft/Unit <br /> <br />Zone No. ,," <br /> <br />~;y <br /> <br />...., <br /> <br />..J - <br /> <br />Rate $ <br /> <br />./ <br /> <br />Impact Fee Amount $ <br /> <br />.~" <br /> <br />Checked By <br /> <br />,--,' <br /> <br />".- <br />The above impact ~'has been established pursuant to the Pasco County Transportation Impact Ordinance as adopted by the <br />Board of Pasc9,.county Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or <br />", <br />utilization 9f'the permitted structure. <br /> <br />RESOUR.CE RECOVERY ASSESSMENT <br /> <br />EXEMPT 0 <br /> <br />RESIDENTIAL <br /> <br />NONRESIDENTIAL <br /> <br />No. Units <br /> <br />Gross Sq. Ft. (GSF) <br /> <br />Ratc ERe: <br /> <br />52,OO/Year <br />or SO.142/Oay <br /> <br />ERU ASSign No. <br /> <br />Asse~~fl1cnt - (No Units) x ($0.142) <br />x (No. Days) <br /> <br />Assessment - <br />(GSF) x (ERU) x (0.142) x (No. Days) <br />100 <br /> <br />TOTAL FEE $ <br /> <br />TOTAL FEE $ <br /> <br />NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED <br />HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTI~G OFFICE OF PASCO COUNTY. <br /> <br />I ., . <br />Acknowledgement below does not imply acceptance of concurrence, but simply receipt llf a copy of this form, placing <br />tfi~~ding 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 />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 /> <br />,LBY <br /> <br />1 i ~ <br /> <br />White <br />Applicant <br /> <br />Canary <br />Trans/Finance <br /> <br />Canary <br />RRlFlnance <br /> <br />Pink <br />Office <br /> <br />Green <br />Bldg/lnsp <br /> <br />feecalce <br /> <br />PC93113094/D <br />