TRADE MECH Application # / O eron
Mall In application
Please note if this application Harnett County Central Permitting do�1
is part ofajob in progress PO Box 65 Lillie ton 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
1 Kent Johnson will complete the Mechanical - 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: JF,M Heating t; Air, Inc.
Mailing Address: 724 Turlington Road Dunn, NC 28334
Street Address: Same
Business Phone: 910- 897 -5501 Email Address: .' ' ;
"Company name, address, & phone must match information on license.
( Job
�,p (/ Job information q f 6 4qq 3 1
Land Owner's Name: (CF. E,R , Phone: 10S
Tenant/Building Owner(if different): SP's— Phone:
Construction or Site Address: s _ 1 . fS r 1 1 u I
PIN or Parcel # from GIS:
S e ific Directions to Job from Lillie ton:
t.ljki yi,( n toy ; , Qty bUIM Cr F -s`n (>yrrb / !n 6n 14 wy 55
`
Description of work to be done: 'S+nU (1 VAC Job Cos £ l 9 0a . 0
V 0
Mechanical: New Unit With DuctworkN 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: $ (05.00 (calculated from fee schedule)
Mail In Processing Fee: $3.00 per application
Total Enclosed: $ (0 (� • I
Make check payable & Mail completed application form to: Harnett County Central Permitting (HCCP)
PO Box 65
` Lillington, NC 27546
Contractor's Signature: /,f rri- t?ntioi. , % Date: I� ' a t I 0
DO NOT SEND CASH. IN MPLETE PPLICATIONS WILL NOT BE PROCESSED. 1
10/06
GIS_Public: Powered By Freeanc 4.3.2 - TDC Group Inc. Page 1 of 1
• « - �� :�,
(� f / °" t 4 3 'r, —" °� , ing Search 1
$ `, _� ii ` { r : � � '" �" 111 h h •w All Selections I '
e n ` ' y � a `0. t ... c ps. �uYt ' *rkw� I
��
htions Clear
i) 1711,i L . k � n. t •1„ x t ,4 t b+ a rLL�;I cels Featu
O f. fix [+ , t 1 . { : SI , 1-.4.-,`, , k I +Y`I'la t. i a non
i,,, r r - c - - ; t i ' ';,_ f es +, -. �� N _VERALICEFAYE
r} .7[ , 54 . -'r �`e' " � -"ISO— R a' _ _.,._.... . ADM " `5 a f i ' ., a T k 'r"" `Y w ADQR f�
Th ` '��� e * t,. 'S n. a ' �� 3+ +'`} 2919 NC 55 WEST ,: ;
a w ` i , 1 .1:11.4+1.:::$1,7.411-',41r,: f. ,S �,.F�' GI•Ilt e" •NGIER s .
tl Y r, '-r f �f.,' � ,� Ji / , -e " a i1 `�'" _ . . m
z a, '`r ` 4 t y� ,f r c HC, lo- « , x i
, �NC
N . y F 4 1}. h S Y
14:: h r ; I1 i `+k _' {„ . . --.1 41 4, 1 � tr,� 75010000 1._
n M r' + +1 f t_¢ ``' . , ✓.« "34 ,:P x`.ti is .5 anon
s ..: ' i r'it. '1 ` . � � 29 t + a ° A REID ,{ 0 20
692- 7104 000 `-
s }, r. sit 5� 4 • d r t .� ft :in; . PIN
4.:` i.;.',4314.11, su � ' ° r ,,,,,,,A! 1 a 70035950 X
692 0184
d - 4 ' ' v z i a .\ �C0
Ne
�+ �.k 19=7“.33111=:",‘!,=','',` " 1� 1, 1, ` i + ,v ITUS AIDS' SS HWY 55 002935
e 7 r � .,1 '
1 " 11 °yw ' 1'� -a ei J � ce i ,, .. `1 . v_ 91 ACRES HW'Y
i /e� p , "`�.�„ 'Y. a � ' a � � A r IutNTfHEWS FiWY
a a a � � I , 4t t . t !TA- TYPE .91AC
` e s to - ?a Y A ` �' ifs' fi - i-
y +1 e ` r + 290 46373164
7� 2 9 1 , 7,.+ t � < 1 i 9a yy ,�,rrnYe .y ' ✓ ' ,. ,yy anon
}� a� z x �r {i + s, fy , 1 t •l bw r )' 3 i i nnnno i
• + Y , , : a ' # ' i' 1 i " It ` ,, Y t , y , + 1 > + +1 r €VIS r :�...,.,.a. :,
Fe t . a .4,,,,-,-, ,tq • .. ` I site Inform
V,� ''''' +, "s ^ - .�a hC} � Y�b�., �, t 1 O ![. t. d(1C,,,
1
i lk"- •` •;
•
4 P10 PIN � �E W LItLEOAL4 l� " e " °" n X 0
i 6
0706920692'20'i' MATTHEW 55 4. 91 +
wY
1 ACRES � 00998 0178 0 11 17 1 2 1 1 1 5 / 0 2
0184 X71 oa.000 HWY 002935X
-- _ :ENNIS 8 i
Zoom To Result Set
Prev Curre Page: [1]out 0114_ 1 ] Next Cle;
--z=
i
�3
http: / /gistools.h Client /PublicAccess 1 /index.html ?appconfig= public l 010