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<br />CITY OF ZEPHYRHILLS <br /> <br />Permit Application <br />HEATING, VENTILATING, <br />(..,.J;.;).1 AIC, REFRIGl~,TION SYSTEMS <br /> <br />Certificate Number7t __~3 -.jj IS--- j <br /> <br />Contractor C~{~-;J;e <br />Owner'sjNa~f (~~:,; ,hi _ _ J~ <br />Date -12g/1J ,/ <br /> <br />Job AddresS//$ (k4Lv fJ, <br />~+~4-;JJ , <br /> <br />Check one: <br /> <br />Air Conditioning Ventilation-Ductwork Heating <br />Refrigeration Repairs--Alterations Boiler <br />Other CONTRACT PRICE OF INSTALLATION $ <br />MIND-ruM PERMIT FEE . . . . . . . . . . . . . $10.00 FEE <br />Fee for Heating, Ventilating, Duc t , 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) dil>l1ars or fraction thereof $10 .00 <br />Repairs, alberations and additions to an existing system over $500.00 <br />shall'be $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 Refrigeration or Air Conditionine System. 5.00 <br />In all buildings except one and two family dwellings using self-'"" <br />contained Alc units less than two tons, the fee charged shall be <br />based on the valuation of total tonnage of all units comb ined . Minimum <br />fee shall be $10 .00 10.00 <br />Boilers based on BTU Input: <br />33,000 B TU ( 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 ( 5 2 B HP) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15,00 <br />1,165,001 BTU (52 BHP) to 3,300,000 BTU (98 BHP)....................... 25.00 <br />Over 3,300,000 B TV. . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . 35.00 <br />Re-Inspection Fee, each trip 10.00 <br /> .~ . <br /> TOTAL FEE <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 />The payment of re~nspect~on fees sha~~ be made before any <br />the person owing same. <br /> <br />SIGNATURE OF APPLICANT <br /> <br />