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<br />CITY OF ZEPHYRHILLS <br /> <br />Permit Application <br />HEATING, VENTILATING, <br />AIC, REFRIGERATION SYSTEMS <br /> <br />Certifieato Numbo. :~J... .' Job <br /> <br />Contrae to~ a;, li .1 -. ')/ ~:t...:~/ <to, (.NO ji'j;~, .;, (j <br /> <br />Owner' 8 Name . <br /> <br />Date <br /> <br />h~(f~ <br /> <br />~ddreu ~~~ @4fA <br /> <br />Air Conditioning Ventilation-Ductwork Heating <br />Refrigeration Repairs--Alterations Boiler <br />Other CONTRACT PRICE OF INSTALLATION $ <br />MINUruM 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-erations and addi tions to an existing system over $500.00 <br />shal~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 Refri2eration or Air Conditionin2 System. 5.00 <br />In all buildings except one and. two family dwellings using self- <br />contained A/C 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 BTU(l 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 BTlJ. (98 BHP) . . . . . . . . . . . . . . . . . . . . . . . 25.00 <br />Over 3 'I 300 .000 B TU . . . . . . . . . . . . . . . . . ~ . . ~ . ~ ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35.00 <br />Re-Inspection Fee, each trip 10.00 <br />For rrobi1e hare rrechanica1 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 fees <br />person owing same. <br /> <br />shall be made before an~'fur~~. its wiJ1l be issued to <br />SIGNATIlRE OF APPLICANT --u-nr-f \;( 1 A AU <br /> <br />The <br />the <br /> <br />,~ <br />