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<br />CITY OF ZEPHYRHILLS <br />Permit Application <br />HEATING, VENTILATING, <br />Ale, REFRIGERATION SYSTEMS <br /> <br />eertificat.- Number ~ 'l//rP . . <br />Contractor .4,~: ., '" [~,)" dtJc <br />Owner's NameJ--:--( f:. ~;1/11jj (' <br /> <br />Date rf2 - ) 0- ~ Cj / <br /> <br />Job <br /> <br />(' ~ 7' I~ <br />~ 1// /V "j /'-f ..;v /L <br />r " .- G~")' ,?" , <br />Addres8.~ 'I:J.s - p/, I k....'-f./ () , <br /> <br />. ~} <br />._---7 ,. /' <br />...::- ... /;//(/ <br /> <br />Air eonditioning~' Ventilation-Ductwork Heating <br />Refrigeration Repairs--Alterations Boiler <br />Other CONTRACT PRICE OF INSTALLATION $ <br /> , <br />MINUIUM PERMIT FEE . . . . . . . . . . . . . $1.5 . 00 FEE <br />Fee for Heating, Ventilating, Duct, AirConditioning and Refrigeration <br />Systems shall be Ten ($10.00) Dollars for the first one thousand dollars <br />($1,000) of total valuation of installation PLUS two ($2.00) per each <br />additional one thousand ($1.000) d~llars or fraction thereof $10.00 <br />Repairs. alt~rations and additions to an existing system over $500.00 <br />shalrbe$2.00 per each $1,000 or fraction thereof in valuation plus <br />five ($5.00) dollars. . 5.00 <br />Temporary Operation Inspection Fee: For inspecting a Heating, <br />Ventilation Refri2eration or Air Conditionin~ System. 5.00 <br />In all buildings except one and, two 'family dwellings using self- <br />contained AIC units less than two tons, the fee charged shall be <br />based on the valuation of total.tonnage of all units combined. Minimum <br />fee shall be $10.00 10.00 <br />Boilers based on BTU Input: <br />33,000 BTU(1 BHP) to 165,000 (5 BHP) . . . . . .. . . : . . . . . . . . . . . . . . . . . . . . . . . . . . 5.00 <br />165,001 BTU (5 BHP) to 330,000 ( 10 BHP)................................. 10.00 <br />330,001 BTU (10 BHP) to 1,165,000 (52 BHP)............................. 15,00 <br />1,165,001 BTU (52 BHP) to 3,300,000 BTV (98 BHP)....................... 25.00 <br />Over 3.300.000 B TU . . . . . . . . . . . . . . . . . ~ . . ~ .' ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35.00 <br />Re-Inspection Fee, each trip 10.00 <br />For rrobile hare mechanical 15.00 <br /> - <br /> TOTAL FEE <br /> <br />Check. one: <br /> <br />Re-Inspections: When extra inspection trips are necessary due to anyone of the following <br />reasons. a charge of ten ($10.00) dollars shall be made for each trip. <br /> <br />(a) Wrong address. <br />(b) Condemned work resulting from faulty construction. <br />(c) Repairs or corrections not made when inspection. called for. <br />(d) Work not ready for inspection when called. <br />payment of reinspection <br />person owing same. <br /> <br />fees shall be made before anY.fur~~e~pe~ts wi~/be ~s.~~~ to <br />SIGNATURE OF APPLICANT~.4'vA (&-jf'~;f4'1A'J"<P;::f{, <br /> <br />The <br />the <br /> <br />.~ <br />