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<br />i _'~' <br /> <br />~~ <br />"~,- " <br /> <br />-'"1. ,I,.t {'\ <br /> <br />'!r-:J3'" <br /> <br />...~:.~~...._..- <br /> <br />'i":.........;... <br /> <br /> <br />'\, <br /> <br /> <br />"Iiif. <br /> <br /><<>, <br /> <br />PASCO COUNTY~ FLORIDA <br /> <br />:~ <br /> <br />Permit Nu, <br /> <br />Date Permitted <br /> <br />Builder Name/Owner Name <br /> <br />;--'J <br />County Parcel No_--=, <br /> <br />AddresslLocation <br /> <br />Subd. <br /> <br />Classificationffype of Use <br /> <br />How Determined <br />TRANSPORTATION IMPACT FEE CALCULATIO~/- EXEMPT 0 <br /> <br />'---",,--~,-_. ... <br />Wliy:----.. <br /> <br />I <br />_/ <br />---- <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 />/ <br /> <br />NONRESIDENTIAL <br /> <br />No. Units <br /> <br />Gross Sq. Ft. (GSF) <br /> <br />Rate ERL: - 5200/Ycar <br />or SO,1421Da)' <br /> <br />ERU Assign No. <br /> <br />Asscssrlli:nl- ()\;o. Units) x ($0,142) <br />x (No, Days) <br /> <br />Assessment - <br />(GSF) _x (ERLJ) x (0,142) x (No, Days) <br />100 <br /> <br />TOTAL FEE $ <br /> <br />TOTAL FEE $ <br /> <br />" . NO CERTIFICA TE 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. hut simply receipt l)f a copy of this form. placing <br />the huildIng 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 /> <br />OFFICE l'SE ONLY <br /> <br />TRANSPORTATION REC. NO, <br />, <br /> <br />RESOURCE RECOVERY REC. NO. <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/Finance <br /> <br />Pink <br />Office <br /> <br />Green <br />Bldg/lnsp <br /> <br />feecalce <br /> <br />PC93113094/D <br />