TRADES
Application #Q c? O/ DtJ
Harnett County Central Permitting
PO Box 65 Lillington, NC 27546
910-893-7525 Fax 910-893-2793
www.harneft.org/permits
Certification of Work Performed By Owner/Contractor
(Individual Trade Application)
Owner (s) of Structure: FLOYD HEIN Phone: 497-7325
Owner (s) Mailing Address: 411 RAINEY DRIVE
SPRING LAKE, NC
Land Owner Name (s): Phone:
Construction or Site Address: 411 RAINEY DRIVE SPRING LAKE, NC
PIN or Parcel # from GIS: PI N * 0514 -3O - q ~ 40. 000
Job Cost: Description of Work to be done SERVICE UPGRADE 2 1/2 ton
PACKAGE HEATPUMP 8 KW
Mechanical: New Unit With Ductwork _ New Unit Without Ductwork _ Gas Piping
Electrical': 200 Amp _ <200 Amp _ Service Change X Service Reconnect Other
For Progress Energy customers we need the premise number
Plumbing: Water/Sewer Tap - Number of Baths _ Water Heater
Specific Directions to Job from Lillinaton:
Subdivision: Lot
Cuu- l (q 8 C-- V
ALLMAN ELECTRIC will provide the ELECTRICAL labor on this structure.
(Contractors Name) (Trade)
I am the building owner or my NC state license number is 6136-u which entitles me to,
perform such work on the above structure legally. All work shall comply with the State Building Code
and all other applicable State and local laws, ordinances and regulations.
Structure owner(s) signature: Date:
Company Name: ALLMAN ELECTRIC CORP Phone: 910-485-8617
Address: 345 WILKES ROAD..
County: CUMBERLAND _ Contractor's License 6136-U
Contractor's Si nature: " t
9 Date: 3 -
*Company name, address, & phone must match information on license.
TRADE - 4108
GIS_Public: Powered By Freeancc 4.3.2 - TDC Group Inc. Page 1 of I
n1 xC IlI+'i l I
In ' +I I It) s; it+t1!7I i'JII ( } M . ~l pill,
' RI'l Mill
9 Search
w All Selections
ns Clear
Is Feature mm
tion
~HEIN FLOYD a-CM
+ + 11"RAINEY DR... '
' SPRING LAKE
NC
n 83900000
:377 ion }
514-30-9740.000
4 10514 0168 W'
E x 014451
rr DD S RAINEY DR 000411 X
=i+ai g M.. 1 LOT SIGHT VALUED k6s
-IN LAKES RA
+
a f';° PE I.00LT
.51224979
on
0648
058.
-_t 19761230 _
F1 ' i
Ite Information
I i
I
d PID PIN LEGAt1LEOA PROPADDR DPAG DEED OA HEA SA ASSESS
10105140514-30-SIGHT LAKES RAINEY DR
iA TI
0168 4746MOVALUED 000411 X '.,00648 0058 119761230 1056 0 62330
#26
Zoom To Result Set:
aqas., m++sa~+++ns~+#ki,....~..t
http: //gistools.hamett.org/Freeance/Client/PublicAccess 1 /index.htrnl?appconfig=public 1 3/10/2010
t~ 9~GC
Application #
Please note if this application Mail M application
is part of a job in progress Harnett County Central Permitting, ~J` Cv
with open permits. PO Box 65 Lillington, NC 27546
910-893-7525 Fax 910-893-2793
_yes no www.harnett.org/permits
Certification of Work Performed by Owner/Contractor
(Individual Trade Application)
Contractor Information
I, f 5 L_ will complete the ~/`~lG7an / [01 work on the project or
(Name) (Trade)
structure herein described. My state license number is d /3 S 7 All work shall comply with the
State Building Code and all other applicable State & Local law, ordinances and regulations.
Company Name: ~SS ~r~l L 0 ,S✓C.
Mailing Address: f J eok i V-d- )/y
Street Address: Sat 6 --Vgia Ad ~y ~I. X83 o ~
Business Phone: 0 Email Address: Aqq-C-l~ ~ o
'Company name, address, & phone must match information on license.
obinformation `/q,+
Land Owner's Name: F!k/ c[_ . n~ t- Phone: T/
Tenant/Building Owner(if different): Phone:
Construction or Site Address: Le ®.Q 5~ ti~ midis u
PIN or Parcel # from GIS:
S ecific Directions o Job f om Lillin ton: / / /4 1~1 4-to
'T V1_ .o -f Oab Gh'NC•
Description of.work to be done:. 2vrJlQt{- J S7o- Job Cost: 6 3j
Mechanical: New Unit With Ductwork- 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
4 5- D10
Permit Fee: $ (calculated from fee schedule)
Mail In Processing Free: $3.00 per application For Electrical Permits with Progress Energy
Total Enclosed: $ Gp 0 ° we need the premise number provided.
Make check payable & Mail completed application form to, Harnett County Central Permitting (HCCP)
PO Box 65
Lillington, NO 27546
Contractor's Signature: ate:
DO NOT SEND CASH. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED.
TRADE 4/08