TRADES
.r Application # O 9J O
Ey-11 plication Mail In application
gress Harnett County Central Permitting `J
PO Box 65 Lillington, NC 27546
Telephone Number 910-893-7525 Fax 910-893-2793
o www.harnett.org
Certification of Work Performed
By Owner/Co ntractor
Contractor Information
' Kent Johnson
I. will complete the HVAC work on the project or
(Name) (Trade)
structure herein described. My state license number is 17164 All work shall comply with the
State Building Code and all other applicable State & Local law, ordinances and regulations.
Company Name: J$M Heating $ Air, Inc.
Mailing Address: 724 Turlington Rd Dunn, NC 28334
Street Address: S41E
Business Phone: 910-897-5501 Email Address: 3m28334@aol.com
"Company name, address, & phone must match information on license.
~Job Infer ormation g
Land Owner's Name: ~lpll.X~11 Phone7 (0-p u-n /L
~Ot7 8
Tenant/Building Owner(if differentl: h111 Phone: StIKE
Construction or Site Address: 34 PPrCho.
.PIN or Parcel # from GIS:
S fie Directions to Job from Lillin ton:
~a 55
Description of work to be done: Job Cost: ' WbeN~
Mechanical: New Unit With Ductwor New Unit Without Ductwork _ Gas Piping _
Electrical: 200 Amp _ <200 Amp - Service Change _ Service Reconnect _ Other _
Plumbing: Water/Sewer Tap _ Number of Baths _ Water Heater
/ Permit Cost
Permit Fee: (calculated from fee schedule)
Mail In Processing Fee: $3.00 per application
Total Enclosed:
Make check payable & Mail completed application form to: Harnett County Central Permitting (HCCP)
PO Box 65
Lillington, NC 27546
Contractor's Signature: Date:
DO NOT SEND CASH. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED.
10/06
Ar~ 0 13 -2,7
TOWN OF COATS
(Extra-Territorial Jurisdiction or City)
APPLICATION FOR ZONING PERMIT
To: TOWN PLANNER/TOWN OF COATS Permit No. 09;Z701 -12'
P.O. Box 675
Coats, NC 27521 Fees:' ~5•"a
Phone: (910) 897-5183
Fax: (910)897-2662
Date: 1 %1~ a Parcel fD*: 0715-07
0 1 2 (p os
Area Zoned As: R St'o
Applicant: Property Ow
Name (Print) .F RI rt. Name A oOKL 'JA:!J WA Address Address
City, State C City, State G
Zip Code Zip Code
Phone# CI16-B 9h-5501 Phone# -
Location of Property: IN-TO ET'J ETJ (contiguous)
Present Use of Property: p i ct P.0~1 A l .
Proposed Use of Property:
'~]f ] Single Family Dwelling: # Rooms: # Bedrooms:- Square Feet:
[ ] Multi Family Dwelling: # of Units- #Bedrooms (per unit):- Square Feet (per unit)
] j Mobile Home (single lot): single wide: Double Wide:
( ] Mobile Home Park: Section 16, Zoning Ordinance must apply
[ J Business: Total # of employees per day Type of business
[ ] Others (specify):
`[d]Existing structure: Renovate. Addition: Demolish:
Water and Sewer Supply: Private Water Sewer I + R n
a~ I-Li V l.~
Public -t- duel ll~((~ ,
Proposed
Existing 0~0 , 0 0
NOTE: Attach a site plan that includes property lines (front, side, and rear), location of proposed structures
(including driveways, decks, etc.), and existing structures. This plan should be drawn to scale. Also, in order to
receive a Privilege License from the Town of Coats to open a business, you must have a valid Zoning Permit,
along with all applicable inspections from Harnett County.
Applicant: I certify that all of the information presented in this application is true, complete, and accurate to
the best of m pwledg y~lse i fors tion is r mds for rejection of the application
Signature: Q Date: U I Q
ZONING ADMINISTRATOR USE ONLY
Notes:
Zoning Administrat+ ~ jtw. $ 0+~+ y Date: ;k7-q
Approved: / Denied:
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