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<br />CITY OF ZEPHYRHILLS <br /> <br />Permit Application <br />HEATING, VENTILATING, <br />Alc, REFRIGERATION SYSTEMS <br /> <br />. .4/0~, . .ff <br />Job Address~~.i7"'(.. h "71._...d~ /741'6 <br />. <br /> <br />Certificate <br />Contractor <br />Owner's Name A7z-/7't <f/~ <br />Date /3// S /9/ <br /> <br /> <br />.Check one: <br /> <br />Air Conditioning V Ventilation-Ductwork Heating ,/" <br />Refrigeration Repairs--Alterations Boiler <br />Other CONTRACT PRICE OF INSTALLATION $ <br />MINUruM PERMIT FEE .............$10.00 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 /> , ' i <br />Repairs, alt~rations 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 Refri~eration or Air Conditionin~ 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 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 BTU (98 BHP)....................... 25.00 <br />Ov'er 3... 300 ... 000 B TU. . . . . . . . . . . . . . . . ~ ~ ... . ~:. ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35.00 <br />Re-Inspection Fee, each trip 10.00 <br /> . <br />For nobile hare rrechanical 15.00 <br /> . TOTAL FEE <br /> . . . . . . <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 r@Bdy for inop@otion whin CBllt!d. <br />payment of reinspection fees shall be made before any further permits will be issued to <br />person oWing same. . /Y' .-:... L .,(.1 --- <br />SIG~ATURE OF APPLICANT /--;'/ t/ /~ <br /> <br />The <br />the <br />