Building Permit Fee Estimate Page 4

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Escambia County Building Inspections Division
3363 West Park Place
Pensacola, FL 32505
Telephone: (850) 595-3550
Facsimile (850) 595-3403
On the Web:
PLUMBING PERMIT FEE ESTIMATE
PROJECT NAME:
LOCATION:
Type of Building of Structure:
Existing
New
Commercial
Residential
Change Out
New Installation
Type of Service:
Cost of Construction:
$
(Labor & Materials)
# OF
1ST Floor
2nd Floor
FIXTURES
FIXTURES
FIXTURES
Drain/Sewer
Basin
Bath Tub
Man Hole
Closet
Sewer Main
Dishwasher
Water Main
Drain-Floor/Roof
Sewer Laterals
Drinking Fountain
Water Laterals
Kitchen Sink
Backflow Device
Sewer/Tank
Connection
Remarks:
Shower
Washer
Water Heater
Sprinkler: Lawn _______ Fire _______ (# Heads)
I HEREBY REQUEST A QUOTE OF ALL FEES ASSOCIATED WITH THIS PROPOSED PLUMBING
PROJECT. I UNDERSTAND THAT THESE FEES ARE ESCAMBIA COUNTY BUILDING INSPECTIONS
DEPARTMENT FEES. FEES THAT COULD BE CHARGED BY ANOTHER AGENCY ARE NOT INCLUDED. I
FURTHER UNDERSTAND THAT THE FINAL EXACT COSTS WILL BE DETERMINED AT COMPLETION OF
THE PERMIT APPLICATION PROCESS.
Signature:
Title:
Printed Name:
Company
Telephone No.:
Cell No.:
Fax No.:
Estimated Plumbing Permit Fees: $
FAX COMPLETED FORM TO (850) 595-3403
Revised 1/12
Form No.: 200.4

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