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<br />',~"-W'.,!,:;'.' " <br /> <br />,0,,,\' <br /> <br />---.__.~---._---- <br /> <br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit No. <br /> <br />r <br /> <br />Date Permitted _ <br /> <br />r <br /> <br />--- - <br /> <br />Builder Name/Owner Name <br /> <br />County Parcel No. <br /> <br />,/ - <br /> <br />/. <br /> <br />Address/Location <br /> <br />'/ <br />-' <br /> <br />Subd. <br /> <br />./ ',-< - ,,<<f,; <br /> <br />Classificationffype of Use <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. FtlUnit <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 />. <br /> <br />NONRESIDENTIAL <br /> <br />No. Units <br /> <br />Gross Sq. Ft. (GSF) <br /> <br />RJtc ERL: <br /> <br />52,OO/YcJr <br />or $0 1~2/Day <br /> <br />ERU Assign No. <br /> <br />A~~C~"TllCnl - (No, Units) x ($01~21 <br />" (No. Day~) <br /> <br />As~essment - <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 />HA VE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTI"G OFFICE OF PASCO COUNTY. <br /> <br />Acknowiedgement below does not imply acceptance of concurrence. but simply rccelpt of 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 />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 /> <br />BY <br /> <br />White <br />Applicant <br /> <br />Canary <br />Trans/Finance <br /> <br />Canary <br />nA/Finance <br /> <br />Pink <br />Office <br /> <br />Green <br />Bldgllnsp <br /> <br />feecalce <br /> <br />o1'71J <br /> <br />PC93113094lD <br />