TRADES Application #
Mail application it 89
Please note if this application Harnett County y Cenntrral l Permitting (/� I
is part of a job in progress PO Box 65 Lillington, NC 27546
with open permits.
Telephone Number 910- 893 -7525 Fax 910 - 893 -2793
yes no www.harnett.org
Certification of Work Performed
By Owner /Contractor
Contractor information C I, �1 �V1 \anso C will complete the AV R . work on the project or
(Name) (Trade)
structure herein described. My state license number is at Iua lA . All work shall comply with the
State Building Code and all other applicable State & Local law, ordinances and regulations.
Company Name: S± `y 4)4 {& ' .
Mailing Address: h�� f.9t 1 ti, gtliln etl►i1n ) '\C._ `x4r
Street Address: `ItPMF.. v 11
Business Phone: C\‘Q - - ( 3g8— Ffn Email Address: 'm rte i kK6 A41 .COIF_
*Company name, address, & phone must match information on license.
p Job Information
Land Owner's Name: - kkV.t.LS C-64A (' ; r Al epn) Phone: % o S lA r l ' '\1rl 0
Tenant/Building Owner(if different): (MME., c l • Phone: . (AilkL, r1
Construction or Site Address: I ( Wi sV it(\3(1 �T � . �`j Qfit I't ( ' , rn1JG31
PIN or Parcel # from GIS:
S•ecific Directions to Job from Lillin.t ► : n , t t / . • On Wan
t. 'a mitar1'ufl"cCi11Pn
Description of work to be done: (' tIcino a(rf rcn�+nnit Job Cost 3 , (d0
Mechanical: New Unit With Ductwork) New Unit Wkhout DuctworIN Gas Piping
Electrical: 200 Amp _ <200 Amp Service Change _ Service Reconnect Other
Plumbing: Water /Sewer Tap _ Number of Baths _ Water Heater _
F Permit Cost
Permit Fee: $ (05 1 0 0 (calculated from fee schedule)
Mail In Processing Fee: $3.00 per application
Total Enclosed: $ (05c . 0 0
Make check payable & Mail completed application form to: Hamett County Central Permitting (HCCP)
PO Box 65
Lillington, NC 27546
Contractor's Signature: O V1 Dat q
DO NOT SEND C SH. IN / ETE APPLICATIONS WILL NOT BE PROCESSED.
10/06
Town of Coats
(Extra - Territorial Jurisdiction or City)
APPLICATION FOR ZONING PERMIT
To: TOWN PLANNER/TOWN OF COATS Permit No. 097 813- /
P.O. Box 675
Coats, NC 27521 Fees: fl 7 S, O1
Phone: (910) 897 -5183
Fax: (910) 897-2662
Date: 9 itibo Parcel ID *:
Area Zoned As:
Applicant: � /1.0 Property Owner:
HVf
Name (Print) ,tp1 — Name — QS A-
Address 2q Tirirnssivin Rd. Address U tox S78 Nto (A/nshn S`t
City, State Dlort n,(;. (28; ;i-/ City, State j1 '1s /7,(.
Zip Code - — Zip Code ,D, / - - - -
Phone # Chn - 'Kg7 -Sio I Phone # 419 79f loco FSS 7- 70)0
Location of Property: IN-TOWN ETJ ETJ (contiguous)
Present Use of Property: (toil ,44 — Art SS
Proposed Use of Property:
kr Family Dwelling: # Rooms: # Bedrooms: Square Feet:
1 1 Multi Family Dwelling: # of Units: #Bedrooms (per unit):_ Square Feet (per unit)
1 1 Mobile Home (single lot): single wide: Double Wide:
1 Mobile Home Park: Section 16, Zoning Ordinance must apply
] Business: Total # of employees per day Type of business
"]'Others (specify): L (.tr I4 /fir v ,J I T- s 7 u°-1 i. ,
[existing structure: Renovate: Addition: Demolish:
Water and Sewer Supply: Water Sewer
Private
Public
Proposed
Existing
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 my knowledge. False information is grounds for rejection of the application.
Signature: ,,,:e. _&& Date: 9- a5 - i -2o I p
ZONING ADMINISTRATOR USE ONLY
Notes:
Zoning Administrator _c%,Hi/ /!,� Date: '1� b
Approved: I Denied:
GIS_Public: Powered By Freeance 4.3.2 - TDC Group Inc. Page 1 of 1
iH� � q „, ( f :In ul("l;∎741 1 `. 0. 1 !� I , B O
g r � . r. . !3 6'' " .'° G.i., ( ,1 . . � L i i � i
VS 4 v Yk ' iI be+¢ , . t .,
! r i s t , a 1 y e, � ir p Search
1 t ii 'tea oes 4fz 1 X 73
' ` • of �' how All Selections M
in, i ', ; a, t d z 1 i ,?f• �I I if b � _ i t lOnS Clea
ft t : '�, ..� ; � ( .1 ( , ' u N 4 i it .S els Feature i' kr
' i ( t I i Y :7 t.' x
� 1 . ], ,il$ 0 44 �l i�rt,' r ,t Y �CTC HOLDINGS LLC
to; v id s . 01`i'.'llkill i t ji
, * + ' i ., ' 3 ` ° 1 { 4, ti4r, t I � . ' g �'1' fltod(� � $ 6 it
11P {f sl :1 .��� 3R... m t ! il , r . '.3 ,'�"- a{. - .63 MCLAMB ROAD I
8 t l ix, it $ .: i 'qf` i ' u l ' - ay � _ COATS _ ��
y _ . mmmm� #� C3� '` r. , ,' ''...'r !..9 % 1 4.5[gi i t ' 1 *'A'(�� - NC I .ip,
&. �D' �, i x � 1 i F• t 4 E 75210000
;L- iw .i i h,mi 4r : + ' ` r � 1, ' a"'� anon
on
' ' � Nr i �� °u r690 -73- 3277.000
1 g 9 It _ i fl ” AF 46 1 • j m* n L ' 't(Ii X07069015110003
. rq.:
' ! w #f l ' ' ♦ �r r+i 1024024 i
� �y'�fia I “I t , I — 7 S X'...f�.. . aCARRIE ST X fi j i l r :
7 1. I G 7 AR Ll1i(d ' r c € yi. 1 LOT CARRIE &
k g z4 ' tv x'ir.11 ' s � ' � . ■ ASHINGTON
y I a ih ' . ,, 1� L :' -r .ii �;IC + , 4 � , ' c • L 8 '' MSTREET150X150 0. i. 1 ' 'I h ,,;;.1 k, ii p 1 0 1 4 1I 4n n ¢ ° ND •1 OOI.T • ° ,i ; r )y' vi i ti 0 l 111 a6 a,t � 1 I � � -1-4. �`� Ts iq
dt#t ' RMr r • v SRAe501 A
® s'+ '�' 1 7 1 -... 'a 9k . ipF qq,, „” til ,I( i, { is ' . I a w
i -- tliUb S - —;- - , of h17 17) : W I "^� i .. i ! A ,i'al l - ite � y yw 6x - n, NI .� a.
m ' " ir ` . . "x,4 ' Site Information
c
I
0 [PIN] [PID] [House Numb (Pre_direct [Street_nam] [Street_typ] [Suf_Directj [City]
17°6129°-1.07030-1 0706901628000316.0 IE WASHINGTON!ST (COATS
l(CO)
0690 73-
2 07069015150001330 W WASHINGTON9T CCOATS
3068 000 „ T t
r + .-.. "" ?'` 1 n , : 1i 4. ' a �i ,�11`gr u,+rf „„, (€. "'
.Lmo ',rc.' �... % i &v J.::dd,. � , .� ua at .� �,.,. ? wtfai�n d��7u FtMu.ha 4.i
http: / /gistools.harnett.org/ Freeance / Client/ PublicAccess1 /index.html ?appconfig= public] 9/30/2010