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<br />j~' '''7 '~'''.._",_.'>> <br /> <br /> <br />PASCO COUNTY, FLORIDA <br /> <br />Permit Nu, <br /> <br />~, <br />",>4... <br /> <br />Date Permitted <br /> <br />/: <br /> <br />~.. <br /> <br />~ <br />"'"'" <br /> <br />,,''''' ~ ~ <br /> <br />Builder Name/Owner Name <br /> <br />i <br />k.. <br /> <br />,.jj""~'" <br /> <br />r. ...... I <br /> <br />,'i.....,j <br /> <br />County Parcel No. <br /> <br />< ..: 7 ,.~::-..I,~ /.. <br /> <br />t <br />1,""- ~; <br />,])" .f \-- <br /> <br />~, <br /> <br />," i{'" <br /> <br />J~7 '.' u <br /> <br />---.'- <br /> <br />i <br /> <br />;";f ~,...-" <br /> <br />.." 1- <br /> <br />f.-.!; ..,",11,' ~ <br /> <br />-~ ...... <br /> <br />) ,;;. j ,;' " Subd. <br /> <br />'" . <br />~ . <br />; <br />,~, <br /> <br />~." <br /> <br />" ":'-':1- <br /> <br />-., <br /> <br />, : \...""- <br /> <br />Address/Location <br /> <br />.... <br /> <br />CI assificationffype of Use <br /> <br />,'I <br />II" t} " II <br /> <br />t <br /> <br />~f,.;'; ~'_ <br /> <br />How Determined <br /> <br />,," <br /> <br />TRANSPORTATION IMPACT FEE CALCULATION <br /> <br />,-' <br /> <br />EXEMPT 0 <br /> <br />Why? <br /> <br />Rate $ <br /> <br />Zone No. <br /> <br />" <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 />NONRESIDENTIAL <br /> <br />No. Units <br /> <br />I <br /> <br />Gross Sq. Ft. (GSF) <br /> <br />RatL' ER l:" 52, OOIY ear <br />or SO. 1 42/Day <br /> <br />ERU ASSIgn No. <br /> <br />A~~L'~~TllL'nt- ()\;o Units) x ($0,142) <br />\ (No, Day~) <br /> <br />As~essment - <br />(GSF)_x (ERU) x <0,142) x (No. Days) <br />100 <br /> <br />TOT AL FEE $ <br /> <br />TOTAL FEE $ <br /> <br />NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED lTNTIL THE AMOUNTS LISTED <br />HA VE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY. <br /> <br />Acknowiedgement below does not imply acceptance of concurrence. but simply receipt 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 />------------------------- - - <br />- - ------------ ------------------------ <br /> <br />OFFICE L'SE ONL Y <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 />RR/Flnance <br /> <br />Pink <br />Oltice <br /> <br />Green <br />Bldg/lnsp <br /> <br />oqd-'J- <br /> <br />feecal:ce <br /> <br />'C93113094/D <br />