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<br />~~~~...., .",..,.,."..,..".,-....,......- <br /> <br />,_.II\'I__~ju,~"""""'I..,_~kllb..,,i;,~,,,,,,.h,,~i'\l\,::w.-*$_"""'" ',,", ",-" 'Ik <br /> <br />"l....', <br /> <br />?"'~ <br /> <br />" <br /> <br />jO",,, <br />t........J <br />PASCO COUNTY.. FLO~IDA <br /> <br />/c:::::.~~~:~'~._~~"'\ <br /> <br />Permit Nu. ({) ~ .I [j <br />~----- <br /> <br /> <br />Date Permitted <br /> <br />l <br />! <br /> <br />Builder Name/Owner Name <br /> <br />"'.~/, <- <br /> <br />County Parcel No. <br /> <br />/- <br /> <br />"-J ,,' I' <br />",. '" ~ <br /> <br />- <br /> <br />- <br /> <br />Address/Location <br /> <br />i <br />, <br /> <br />Subd. <br /> <br />, , (. <br /> <br />Classificationffype of Use <br /> <br />," <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 />Prepared By <br /> <br />Impact Fee Amount $ <br /> <br />Checked 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 ERL:" 5200/Year <br />or SO, 142/Day <br /> <br />ERU Assign No. <br /> <br />A~~e~~Tllenl - (No, Units) x ($0,142) <br />x (No, Days) <br /> <br />Assessment - <br />(GSF)x (ERUl 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 VNTlL 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 huildlllg permit owner on notice of this assessment and the conditions of payment for same, <br /> <br />Date <br /> <br />Received By <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 />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 <br />