TRADES Application # / cO .-rd d
Please note if this application Mali In application
is pan of a job in progress Harnett County Central Permitting W
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, ///.�q� — 12.0 will complete the 7b(ii y- 4- :, work on the project or
• (Name) (Trade)
. structure herein described. My state license number is /677 . All work shall comply with the
—__--- _
State Building Code and all other applicable State & Local law, ordinances and regulations.
Company Name: # `Med So i . ,
Mailing Address: . • o dp jt il / /s. , 4. e, 4 s'3 /17
Street Address: /2 3 G 1. 4 w„--r,, aJ AV F
Business Phone: .S.?C -SS 7( Email Address:
'Company name, address, & phone must match information on license.
Job Information
La`
and Owner's Name: I Anoi4,c- A _ 447zi Phone: S R7
Tenant/Building Owner(if different): Phone:
Construction or Site Address: /R 14Sitr Vint : ant t ' hi, a4nu .2834!'
PIN or Parcel # from GIS:
Specific Directions to Job from Lillinoton:
Description of work to be done: �� n,,,i-di�,G; ,G . In jp,.,.,- Job Cost:
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
Permit Fee: $ /na S" (calculated from fee schedule)
Mail In Processing Fee: $3.00 per application For Electrical Permits with Progress Energy
we need the premise number provided.
Total Enclosed: $ • /dada
Make check payable & Mail completed application form to: Harnett County Central Permitting (HCCP)
PO Box 65
Lillington, NC 27546
Contractor's ignature: Z ,— o . , F . 2 6,, Date: to - 8 /��
DO NOT SEND CASH. INCOMPL TE APPLICATIONS WILL NOT BE PROCESSED.
TRADE • 4/08
Application #
Please note if this application Mail In application
is part of ajob in progress Harnett County Central Permitting
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)
ry�/f��® Contractor Information
1, T Z 22 P.�tc,p o_,I � will complete the ,goof oi-J4ii'_ work on the project or
(Name) ` (Trade)
structure herein described. My state license number is 0` //4 9 . All work shall comply with the
State - Building Code and all other applicable State & Local law, ordinances and regulations.
Company Name: . //S Wed. 5 -
Mailing Address: f/ �. l / � iiit,Ca /, /c 4.e d2 W3 /3 '
Street Address: 02 .1 ,uS,9n)
Business Phone: Si 5"--17 Email Address:
*Company name, address, & phone must match information on license.
Job Information
Land Owner's Name: J Et-in ,a y c— A, ,L/j,c Phone: g - ,Sg 7
Tenant/Building Owner(if different): Phone:
Construction or Site Address: /Pa 4),1 54) - /,• .1:p../ Ll A y, /,War c.e,,,/ 13'3
PIN or Parcel It from GIS:
Specific Directions to Job from Lillington:
Description of work to be done:(14an,,p D n : L/n: +f on /(.Job Cost:
Mechanical: New Unit With Ductwor New Unit Without Ductwo 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 For Electrical Permits with Progress Energy
we need the premise number provided.
Total Enclosed: $
Make check payable & Mail completed application form to: Harnett County Central Permitting (HCCP)
PO Box 65
Lillington, NC 27546
Contractor's Signature: n /7J, Date: / -8 /0
DO NOT SEND CASH. INCOMPL TE APPLICATIONS WILL NOT BE PROCESSED.
TRADE
4/08
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http:// gistools. harnett. org /Freeance /Client/PublicAccess 1 /index.html ?appconfig= public 1 6/10/2010
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call: (910) 893 -7525 Fax: (910) 893 -2793
Bldg Insp scheduled before 2pm available next business day.
Application Number 10- 50024610 Date 6/11/10
Property Address LAND FILE ISSUE
PARCEL NUMBER - - - - - - -
Application type description CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning UNZONED
Owner Contractor
PEREZ JOSEPH 72 DEGREES (TLP H&A)
2600 JEFFERSON DAVIS HWY
SANFORD NC 27332
(919) 777 -2777
- -- Structure Information 000 000 REPLACE HVAC
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE RESIDENTIAL
WATER SUPPLY UNKNOWN
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 819284
Issue Date . . . 6/11/10 Valuation . . . . 0
Expiration Date . 6/11/11
Permit RESIDENTIAL MECHANICAL PERMIT
Additional desc .
Phone Access Code 819268
Issue Date . . . 6/11/10 Valuation . . . . 0
Expiration Date . 6/11/11
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call: (910) 893 -7525 Fax: (910) 893 -2793
Bldg Insp scheduled before 2pm available next business day.
Page 2
Application Number 10- 50024610 Date 6/11/10
Property Address LAND FILE ISSUE
PARCEL NUMBER - - - - - - -
Application description . . CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning UNZONED
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
Permit type . . . . RESIDENTIAL ELECTRICAL PERMIT
999 211 E211 R *ELEC ABOVE CEILING _/
999 217 E217 R *ELEC RECONNECT / /_
999 205 E205 R *ELEC UNDER SLAB / /
999 215 E215 R *ELEC. UND. POOL / /_
999 213 E213 R *ELECTRICAL UNDERGROUND _ /_ /_
999 131 R131 ONE TRADE FINAL /_ /_
999 125 R125 ONE TRADE ROUGH IN
Permit type . . . . RESIDENTIAL MECHANICAL PERMIT
999 409 M409 R *GAS PIPING
999 407 M407 R *MECH ABOVE CEILING
999 405 M405 R *MECHANICAL UNDERGROUND _ /_ /_
999 131 R131 ONE TRADE FINAL
999 133 R133 ONE TRADE FINAL > 2500 /_ /_
999 125 R125 ONE TRADE ROUGH IN / /_
999 127 R127 ONE TRADE ROUGH IN > 2500 /