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<br />
<br />PASCO COUNTY, FLORIDA
<br />
<br />Permit No.
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<br />Date Permitted
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<br />Builder Name/Owner Name
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<br />County Parcel No.
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<br />Address/Location~' -7..Ail/;;
<br />Classificationffype of Use /
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<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. FtJUnit
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<br />'"j' Impact Fee Amount $
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<br />PreparedBy _ __.~_.-
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<br />Checked By
<br />
<br />The ab()ve -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
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<br />,/
<br />
<br />NONRESIDENTIAL
<br />
<br />No. Units
<br />
<br />Gross Sq. Ft. (GSF)
<br />
<br />Rate ERU - 54.00Near
<br />or $0. 1 48/Day
<br />
<br />ERU Assign No.
<br />
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<br />Assessment - (No. Units) x ($O.'~
<br />x (No. Days)
<br />
<br />Assessment -
<br />(GSF) x (ERU) x (0.148) x (No. Days)
<br />100
<br />
<br />TOTAL FEE $
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<br />
<br />TOTAL FEE $
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<br />
<br />NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED
<br />HA VE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY.
<br />
<br />Acknowledgement below does not imply acceptance of concurrence, but simply receipt of a copy of this form, placing
<br />the building pe,mit owner on notice of this assessment and the cmnditiotlsof paymcnt"for '-same. ,~\ -I ·
<br />
<br />Date
<br />
<br />Received By
<br />
<br />-----.---------------------------------------------------------------------------------------------------------------------------------------------
<br />
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<br />OFFICE USE ONLY
<br />
<br />TRANSPORTATION REC. NO.
<br />
<br />RESOURCE RECOVERY REC. NO.
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<br />
<br />DATE
<br />DATE
<br />
<br />BY
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<br />BY
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<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 />feecal:ce
<br />PC93113094/E
<br />
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