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<br />PASCO COUNTY~ FLORIDA
<br />
<br />Permit No, 0 ~'1 <':1
<br />Date Permitted < I J d I 0
<br />
<br />Builder Name/Owner Name
<br />
<br />."j
<br />\\ \/,.-.,6..
<br />,
<br />
<br />( U,' )1
<br />
<br />County Parcel No,
<br />
<br />-,1" '>I
<br />)
<br />
<br />)-;, II, ljlVv- odvuO. ,)0,0
<br />
<br />Address/Location '7l ....ll 1-\ '. t; I-. \ 4 ,J
<br />J
<br />Classificationffype of Use ~-.. h c) i" ~c:..,.; y
<br />
<br />How Determined
<br />
<br />L( .
<br />I }\._, } .(! I J j
<br />
<br />Subd.
<br />
<br />Dt-I<
<br />
<br />,-~
<br />
<br />f(, ,
<br />
<br />l'l( I
<br />"
<br />
<br />TRANSPORTATION IMPACT FEE CALCULATION
<br />
<br />EXEMPT 0
<br />
<br />Why?
<br />
<br />Rate $
<br />
<br />Zone No.
<br />
<br />Impact Fee Amount $
<br />
<br />/..."
<br />
<br />Prepared)ly/'
<br />Checked By
<br />
<br />Sq, Ft/Unit
<br />
<br />The above impact fee has b~;t~blished pursuant to the Pasco County T:ansportation Impact Ordinance as adopted by the
<br />Board of Pasco Coun~~6mmissioners, This amount is payable PRIOR to the issuance of a Certificate of Occupancy or
<br />utilization of the p}lfiiitted structure.
<br />.'
<br />/
<br />RESOURCE.J{ECOVERY ASSESSMENT EXEMPT 0
<br />
<br />RES ID ElN'TIAL
<br />
<br />NONRESIDENTIAL
<br />
<br />No. Units
<br />
<br />Gross Sq. Ft. (GSF)
<br />
<br />Rale ERL: - 52,OO/Year
<br />or SO, I ~2lDay
<br />
<br />ERU Assign No,
<br />
<br />Assessment - (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 />HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTI~G OFFICE OF PASCO COUNTY.
<br />
<br />Acknowicdgement below does not imply acceptance of concurrence. but simply receipt uf 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 />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/Finance
<br />
<br />Pmk
<br />Office
<br />
<br />Green
<br />Bldg/lnsp
<br />
<br />feecalce
<br />
<br />PC93113094/D
<br />
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