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<br />PASCO COUNTY, FLORIDA
<br />
<br />PermIt No.
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<br />
<br />Date Permitted
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<br />Builder Name/Owner Name ;~./"e_1.i ,d f""", ,
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<br />County Parcel No. ,/ (( ,~ "",; ~,:i -) , - Oc .'() (:
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<br />Address/Location '~3 '7 <<) ""') (Ii /J'LJ; -", rio.,..;;
<br />Classificationffype of Use " ".",\.A;.,..",,,.J'
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<br />Subd.
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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 />GSq. FtlUnit
<br />
<br />Zone No.
<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 />NONRESIDENTIAL
<br />
<br />No. Units
<br />
<br />Gross Sq. Ft. (GSF)
<br />
<br />Rate ERU - 54.00Near
<br />or $0. 1 48/Day
<br />
<br />ERU Assign No.
<br />
<br />, Ii 'I'
<br />Assessment - (No. Units) x ($0.+481"
<br />x (No. Days);:; ",',
<br />
<br />TOT AL FEE $ J./ Y ~.
<br />
<br />Assessment -
<br />(GSF) x (ERU) x (0.148) x (No. Days)
<br />100
<br />
<br />TOTAL FEE $
<br />
<br />.....-......
<br />
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<br />
<br />NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILt BE ISSUED UNTIL THE AMOUNTS LISTED
<br />HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY.
<br />. . ~
<br />
<br />Acknowkdgement below does not imply acceptance of concurrence, but simply receipt of a copy of this form. placing
<br />the huilding permit owner on notice of this assessment and the conditions of payment for same.
<br />
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<br />
<br />Y
<br />
<br />Date
<br />
<br />Received By
<br />
<br />OFFICE USE ONLY
<br />
<br />TRANSPORT A TION REC. NO.
<br />
<br />RESOURCE RECOVERY REC. NO.
<br />
<br />DATE
<br />~/.?f)'!~ DATE
<br />
<br />BY
<br />? -/y <.:~7 BY ~;"'> /1.-/ ,_
<br />
<br />White
<br />Applicant
<br />
<br />Canary
<br />Trans/Finance
<br />
<br />IV... " __
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<br />
<br />, '.
<br />Canary
<br />RR/Finance
<br />
<br />Pink
<br />Office
<br />
<br />Green
<br />Bldgllnsp
<br />
<br />feecal:ce
<br />PC93113094/E
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