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<br />~,>::"""',",~,'u"~\l""...." <br /> <br />""'':~''''' ""~"','~ - t1t;C~~,"~~~" .,'''''''''' <br /> <br />",,:"1" -'.....,::-.rr:- ~ ........'l2 i.~\j,4I': <br /> <br />\;"~ <br /> <br /> <br />~ .f' <br /> <br />PASCO COUNTY. FLORIDA <br /> <br />"---~----,^ <br />/'.-~....- '\ <br /> <br /> <br /> <br />Permu NU.~ 31 '-i ,~L <br />~( fl',. <br />Date Permitted ,.~ i . ..> ,() , <br /> <br />Builder Name/Owner Name <br /> <br />r'" <br />, '; .~J ~ t <br /> <br />i . ",1 <br />.... , ~. 'C . <br /> <br />County Parcel No. <br /> <br />\, 1. '. ,~i '~" >. : t <br />" <br /> <br />0--~ I;..,)' () _ '~.:"...... . <br /> <br />i '~ i' !..j <br /> <br />Address/Location': ) 'I ) .~ <br /> <br />/~.):;i;' l ti ,.,"" <br /> <br />;-\",>, <br /> <br />Subd...; , <br /> <br />v~ \ <br /> <br />ClassificationfType of Use <br /> <br />\ ' <br />" <br /> <br />., <br /> <br />How Determined <br /> <br />TRANSPORTATION IMPACT FEE CALCULATION <br /> <br />EXEMPT 0 <br /> <br />Why? <br /> <br />,-" <br /> <br />Zone No. <br /> <br />Prepar,ed--B ;' <br /> <br />/...~-,.1 <br /> <br />/--Checked By <br />."" <br /> <br />... <br /> <br />Rate $ <br /> <br />Sq. Ft/Unit <br /> <br />Impact Fee Amount $ <br /> <br />,.' ,/ <br />The aboye impact fee h~~be~n established pursuant to the Pascop6unty Transportation Impact Ordinance as adopted by the <br />Board of Pasco C01.lnfy Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or <br />utilization of th~permitted structure. <br /> <br />RESOURCE RECOVERY ASSESSMENT <br /> <br />EXEMPT 0 <br /> <br />RESIDENTIAL <br /> <br />NONRESIDENTIAL <br /> <br />No. Units <br /> <br />Gross Sq. Ft. (GSF) <br /> <br />RJIL' ERl' <br /> <br />.'i200/Year <br />or SO, 1.+2/Day <br /> <br />ERU Assign No, <br />. <br /> <br />ASsC~~rllCnl ~ (!\;o Units) x ($0,1'+2) <br />\ (No, Day~) <br /> <br />Assessment - <br />(GSF) x (ERU) x (0,1'+2) x (No, Days) <br />[00 <br /> <br />TOTAL FEE $ <br /> <br />i <br /> <br />TOT AL 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 does not imply acceptance of concurrence. hut simply receipt nf 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 />Date <br /> <br />Received By <br /> <br />----- ---------------------------------------------------------------------------------------------- - <br />- --------------------------------------------- <br /> <br />OFFICE L'SE ONLY <br /> <br />TRANSPORTATION REC. NO, <br />RESOURCE RECOVERY REC. NO, <br /> <br />DATE <br />DATE <br /> <br />BY <br /> <br />_ BY --'- <br /> <br />White <br />Applicant <br /> <br />Canary <br />Trans/Finance <br /> <br />Canary <br />RR/Finance <br /> <br />Pink <br />Office <br /> <br />Green <br />Bldg/lnsp <br /> <br />feecal'ce <br /> <br />PC93113094/D <br />