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<br />PASCO COUNTY.. FLO:RIDA
<br />
<br />, C l.'
<br />Permit No, -LD,/ '7 I
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<br />
<br />I <',~/.
<br />~._ c..,....
<br />
<br />Date Permitted
<br />
<br />'/1
<br />.......',;
<br />
<br />I
<br />
<br />Builder Name/Owner Name /; ,.' . G., f
<br />
<br />It (l'V'1 "
<br />
<br />f\ 0 V.1 I () ,) ~ p " ~
<br />
<br />/ ,
<br />l VIr'.
<br />
<br />County Parcel No, p l' ) C . 1/
<br />
<br />01<;' d. OUvv v. (J 2 l u
<br />
<br />Classificationffype of Use
<br />
<br />)' : /" C t~
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<br />
<br />,- . \
<br />I' {~ot"",,,", ~ \. i
<br />,
<br />
<br />Dr
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<br />U4."A' (,,c. 7
<br />
<br />Subd.
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<br />\.IV.f'1
<br />
<br />J...~ t
<br />
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<br />Address/Location (, L ... ~
<br />
<br />rJ v I t L. \ c. tl 4'
<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 />Impact Fee Amount $
<br />
<br />Prep<l!ed~i---'
<br />/"
<br />'"
<br />,c
<br />, /'Checked By
<br />
<br />.......~.-
<br />
<br />Sq, FtlUnit
<br />
<br />",1','<'
<br />
<br />The above impact fec.,h'a's been established pursuant to the Pasco County Transportation Impact Ordinance as adopted by the
<br />,/
<br />Board of Pascq,eounty Commissioners, This amount is payable PRIOR to the issuance of a Certificate of Occupancy or
<br />utilization Qi'the permitted structure,
<br />,/
<br />RESOURCE RECOVERY ASSESSMENT EXEMPT 0
<br />f
<br />
<br />RESIDENTIAL
<br />
<br />NONRESIDENTIAL
<br />
<br />No, Units
<br />
<br />/
<br />
<br />Gross Sq, Ft. (GSF)
<br />
<br />RJtc ERU - 52,OO/YeJr
<br />or $0,1.+2/Oa)'
<br />
<br />ERU ASSIgn No,
<br />
<br />ASSC~~Tl1Cnl .~ (No Units) x ($0,142)
<br />\ (No, Day~)
<br />
<br />Assessment -
<br />(GSF~_x (ERU) x (0,142:: x (No, Days)
<br />100
<br />
<br />TOT AL FEE $
<br />
<br />#
<br />:J'.
<br />
<br />",-..
<br />
<br />TOTAL FEE $
<br />
<br />NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSlJED VNTIL THE AMOUNTS LISTED
<br />HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTI~G OFFICE OF PASCO COUNTY,
<br />
<br />Acknowicdgement below does not imply acceptance of concurrence. but simply receipt uf a copy of this form. placing
<br />the huildmg 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 />"
<br />
<br />DA TE'"''''
<br />
<br />DATE
<br />
<br />BY
<br />BY . ,'<Ii"
<br />
<br />White
<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 />feecal:ce
<br />
<br />PC93113094/D
<br />
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