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<br />PASCO COUNTY. FLORIDA
<br />
<br />Permit No,
<br />
<br />,,,:, /
<br />,
<br />
<br />Date Permitted
<br />
<br />I
<br />
<br />Builder Name/Owner Name
<br />
<br />-s.~ j -to ~
<br />
<br />"./,
<br />.1//' .~;*'J .\
<br />
<br />. i ,"~l'
<br />
<br />~",w
<br />{
<br />
<br />County Parcel No.
<br />AddresslLocation ,,~''',)?,/ #..(
<br />
<br />)""~, / ~~
<br />
<br />/'-, ,;1',;,' ,_
<br />
<br />.;/ t...
<br />
<br />.f or 1(,
<br />
<br />" "........-.-
<br />
<br />j"
<br />
<br />Subd.
<br />
<br />1:'
<br />
<br />Classificationffype of Use
<br />
<br />.1); "
<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 />Impact F.~e Amount $
<br />
<br />Prepar~~l!Y-" .",
<br />
<br />.."'.....
<br />
<br />/"~hecked 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 />NONRESIDENTIAL
<br />
<br />No. Units
<br />
<br />/
<br />
<br />Gross Sq. Ft. (GSF)
<br />
<br />Rate ERe - 52,OO/Year
<br />or $0, 142/Day
<br />
<br />ERU Assign No,
<br />
<br />Asse"ment - (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 />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 />AcknOWledgement below does not imply acceptance of concurrence. but simply receipt of a copy of this form, placing
<br />the nuilding 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, '_ i
<br />
<br />J"-/
<br />
<br />DATE
<br />
<br />DATE
<br />
<br />BY
<br />
<br />BY -""--.
<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
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