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<br />.. . <br /> <br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Penn;! NogjiO <br /> <br />Date Permitted _ S I G I u t <br /> <br />Builder Name/Owner Name <br /> <br />t c,\\ <br /> <br />~ I <br /> <br />County Parcel No. <br /> <br />~....~ .....~"i: ,_ ,,". <br />Address/Location J ! " 1\ <br /> <br />L; <br /> <br />'-< <br /> <br />j "" /; r. <br /> <br />Subd. <br /> <br />',':. f {. <br /> <br />.- ~ t . <br /> <br />C1assificationfType of Use <br /> <br />, '\ <br />I' '_ .'., ( <br /> <br />Ii <br />I L.. <br /> <br />How Determined <br /> <br />TRANSPORTATION IMPACT FEE CALCULATION <br /> <br />EXEMPT 0 <br /> <br />Why? <br /> <br />",./' <br /> <br />-~y <br /> <br />/.... <br />Zone No. /,.-' <br />/~ <br />/ <br />Prep~d By <br /> <br />· Checked By <br /> <br />Rate $ <br /> <br />Sq. FtlUnit <br /> <br />Impact Fee Amount $ <br /> <br />.,. <br /> <br />/.t'" <br />The above impact fee ~~been established pursuant to the Pasco County Transportation Impact Ordinance as adopte(tby the <br />Board of Pasco COJIDty Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or <br />utilization of t~rmitted structure. <br /> <br />RESOURC~RECOVERY ASSESSMENT EXEMPT 0 <br /> <br />RESIDENTIAL <br /> <br />NONRESIDENTIAL <br /> <br />No. Units <br /> <br />Gross Sq. Ft. (GSF) <br /> <br />R;1(C ERL: <br /> <br />52,OO/Yc;1r <br />or SO,I.+21O;1Y <br /> <br />ERU ASSIgn No. <br /> <br />A~~C~~J1lcnt- ()\io. Units) x ($0142) <br />\ (No, Day~) <br /> <br />As~essment - <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 l!NTIL THE AMOUNTS LISTED <br />HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTI~G OFFICE OF PASCO COUNTY. <br /> <br />Acknowledgement below docs not imply acceptance of concurrence. but simply receipt of 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 />OFFICE L'SE ONLY <br /> <br />TRANSPORTATION REC. NO. <br />RESOURCE RECOVERY REC. NO. .l <br /> <br />DATE <br /> <br />DATE <br /> <br />BY <br /> <br />.. i I <br /> <br />'J <br /> <br />BY~ <br />: I <br />"'".... <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 />feecalce <br /> <br />PC93113094/D <br />