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CITY OF ZEPHYRHILLS Permit Application HEATING, VENTILATING, , Alc, REFRIGERATION SYSTEMS C-<.') j ~ -/ ~ <..J.. Certificate Number '-:f!-s:-"_S -:jj /....:,---.1 Job Address Contractor CCfyI-1\::t" /! J,' Owner's Name (_~~~ ~d-dlf!c~ !/.- Date Check one: Air Conditioning Ventilation-Ductwork Heating Refrigeration Repairs--Alterations Boiler Other CONTRACT PRICE OF INSTALLATION $ MINUruM PERMIT FEE . . . . . . . . . . . . . $10.00 FEE Fee for Heating, Ventilating, Duct, AirConditioning and Refrigeration Systems shall be Ten ($10.00) Dollars for the fir s t one thousand dollars ($1,000) of total valuation of installation PLUS two ($2.00) per each additional one thousand ($1,000) diD llars or fraction thereof $10 .00 Repairs, alberations and additions to an existing system over $500.00 shall-be $2.00 per each $1 ,000 or fraction thereof in valuation plus five ($5.00) dollars. 5.00 , Temporary Operation Inspection Fee: For inspecting a Heating, Ventilation Refrigeration or Air Conditioning System. 5.00 In all buildings except one and two family dwellings using self-'_, ... contained Alc units less than two tons, the fee charged shall be based on the valuation of total tonnage of all units comb ined . Minimum fee shall be $10.00 10 .00 Boilers based on BTU Input: 33,000 BTU (l BHP) to 165,000 (5 B HP) . . .. . . . . . . . . . . . . . . . . . . . . . . . . .'. . . . . . 5.00 165,001 BTU (5 BHP) to 330,000 (10 BHP) . . . . . . '. . . . . . . . . . . . . . . . . . . . . . . . . . 10.00 330,001 BTU (10 BHP) to 1,165,000 (52 BHP)............................. 15,00 1,165,001 BTU (52 BHP) to 3,300,000 BTU (98 BHP) . . . . . . . . . . . . . . . . . . . . . . . 25.00 Over 3,300,000 BTU. . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . 35.00 Re-Inspection Fee, each trip 10.00 '. . TOTAL FEE Re-Inspections: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($10.00) dollars shall be made for each trip. (a) Wrong address. (b) Condemned work resulting from faulty construction. (c) Repairs or corrections not made when inspection called for. (d) Work not ready for inspection when called. payment of reinspection fees shall be made before any furehe person owing same. The the SIGNATURE OF APPLICANT ermit~ Wi}t.,pe issued to . _ () {fj/,;,II '',A'r, , /;:'~1_(;I;