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<br />PASCO COUNTY~ FLORIDA
<br />
<br />Pe,mi. Nu. ~;::~
<br />~ :::--
<br />
<br />Date Permitted .]. ....... I
<br />,
<br />
<br />l!uilder Name/Owner Name
<br />
<br />.Ii
<br />
<br />County Parcel No.
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<br />Address/Location
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<br />Classificationffype of Use
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<br />
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<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 />PrePa.red-By
<br />
<br />Impact Fee Am.ourit $
<br />
<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 />No. Units
<br />
<br />/
<br />
<br />NONRESIDENTIAL
<br />
<br />Gross Sq. Ft. (GSF)
<br />
<br />Ratc ERe
<br />
<br />52,OO/Year
<br />or SO,l421Day
<br />
<br />ERU Assign No,
<br />
<br />Asscssmcnt
<br />
<br />(No, Units) x ($0 142)
<br />x (No, Days)
<br />
<br />Assessment -
<br />(GSFl,X (ERU) x 10.142) 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 UNTIL 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, but simply recclpt uf a copy of this form. placing
<br />the huiJding 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,
<br />
<br />. I J
<br />lid
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<br />I
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<br />
<br />DATI:
<br />DATE
<br />
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<br />
<br />BY
<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 />Bldgllnsp
<br />
<br />feecalce
<br />
<br />PC93113094/D
<br />
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