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<br />-.- ,.,. -.,...".'--....----..-,--,.. '-""-j <br /> <br /> <br />PASCO COUNTY, FLORIDA <br /> <br />. /~' .:-; <br />Permit Nll. _--1_ ~/." <f-7 <br />'7 /'-)... ../ <br />Date Permitted .. '<" u..2.... <br />, <br /> <br />Builder Name/Owner Name <br /> <br />\,..~{t./)j"d/.:~ \",}//'jl). <br />~~ . <br />'5 'i .-;)..t).::;J J . /i L./:. 0 /[ . .~ D 0 <br /> <br />-"7 ,t/ ....-;1 -, }. I <br />:"'l 7/),.:2 / / /~.;JLW (,:J,}t // j~ <br /> <br />~>;t . ....-< / __4,1 r <br /> <br />~. ,c( () <br /> <br />County Parcel No. <br /> <br />Address/Location <br /> <br />Subd. <br /> <br />Classificationffype of Use <br /> <br />, <br />l <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 />r--. Sq. Ft/Unit <br />( i <br />\---",' .,.,.....- <br />Impact Fee A~g.lHrt'$ 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 />-" <br /> <br />lJ:epared By <br /> <br />RESOURCE RECOVERY ASSESSMENT <br /> <br />EXEMPT 0 <br /> <br />RESIDENTIAL <br /> <br />NONRESIDENTIAL <br /> <br />No. Units <br /> <br />/ <br /> <br />Gross Sq. Ft. (GSF) <br /> <br />Rate ERU - <br /> <br />54.00Near <br />or $0. I 48/Day <br /> <br />/ I ;: / <br />(No. Units) x ($O.~ <br />x (No. Days) ,,:2';; <br /> <br />ERU Assign No. <br /> <br />Assessment - <br /> <br />Assessment - <br />(GSF) x (ERU) x (0.148) x (No. Days) <br />100 <br /> <br />TOTAL FEE $ <br /> <br />-'- '~':,; 5' <br />// ' <br /> <br />TOTAL FEE $ <br /> <br />(--, <br />, ) <br />"..~.. ~/ <br /> <br />NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED <br />HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY. <br /> <br />~ ,,';,: <br /> <br />'~ . <br /> <br />,~ <br /> <br />" <br /> <br />~ <br /> <br />Acknowiedgement below does not imply acceptance of concurrence. but simply receipt llf 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 />(') <br />\J <br /> <br />Date <br /> <br />Received By <br /> <br />----- ----------------------------------------------------------------------------------------------------------------- <br /> <br />OFFICE USE ONLY <br /> <br />TRANSPORTATION REC. NO. <br /> <br />RESOURCE RECOVERY REC. NO. <br /> <br />DATE <br />~I .Jl>,-~~,- DATE <br /> <br />j . <br />.. -/:; l-':~S <br /> <br />BY <br /> <br />BY <br /> <br />( ',.1, <br />.,. j,i>..- <br /> <br />(' <br /> <br />White <br />Applicant <br /> <br />Canary <br />Trans/Finance <br /> <br />. 7' - . <br />! ,/J'" "'-. . <br />.- /' / .~ 'Cana'ry <br />RR/Finance <br /> <br />Pink <br />Office <br /> <br />Green <br />Bldgllnsp <br /> <br />feecal:ce <br />PC93113094/E <br />