DOCUMENTS S) lei ) I Application# in 5(X4( 3l 0 1 0
Harnett County Central Permitting
PO Box 65 Lillington, NC 27546 - Ph: 910-893-7525 - Fx: 910-893-2793 - www.harnettorg/permits
Certification of Work Performed By Owner/Contractor
(Individual Trade Application)
Owner(s) of Structure: PGCO,LLC Dawn Shue Phone: 910-987-2350
Owner(s) Mailing Address:3928 Final Approach Drive
-Fayetteville, NC 28312 -
Land Owner Name(s)'. PGCO,LLe Dawn Shue phone:910-987-2350
Construction or Site Address:lr
160 Maplewood ,, Sanford, NC 27332
PIN# 9Sc 5 - 4-6 — I � O '^'Parcel#1'33 Icrc I 5 o) a
Job Cost: $6000.00 Description of Work to be done Change out HVAC Equipment
Mechanical: New Unit With Ductwork_ New Unit Without Ductwork ✓ Gas Piping_Other
Electrical`: 200 Amp_<200 Amp_Service Change_ 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 LillinatoR:
From Lillington take Hwy 27 toward Johnsonville to Left on Buffalo Lakes Rd to Left into Carolina Lakes to Left onto
Carolina Way to Left onto Maplewood to 160
Subdivision: Carolina Lakes Lot#:
Phillip Bryant will provide the Mechanical/Electrical labor on this structure.
(Contractors Name) (Trade)
I am the building owner or my NC state license number is 11542 H3/ 16394E 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.
Cool Springs Services, Inc 919-258-0415
Contractor's Company Name Telephone
2200 Cool Springs Rd, Broadway, NC 27505 phil@coolspringsservices.com
Address Email Address
11542 H3/16394L
License#
Structure Owner/Contractor Signature < •'` Date: 5/11/17
By signing this application you affirm th you haybtained perm ion from the above listed license holder to
purchase permits on their behalf. If doing the work as owner you nderstand that you cannot rent, lease or sell
the listed property for 12 months after completion of the listed work.
*Company name, address, & phone must match information on license
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 17-50041366 Date 5/12/17
Property Address 91749 TECH 2
PARCEL NUMBER - - - - - - -
Application type description CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning UNZONED
Owner Contractor
PGCO LLC COOL SPRINGS SERVICES (BRYANT)
3929 FINAL APPROACH DRIVE 2200 COOL SPRINGS RD
EASTOVER, NC 28312 BROADWAY NC 27505
FAYETTEVILLE NC 28312 (910) 258-0415
(910) 987-2350
Applicant
COOL SPRINGS SERVICE INC
2200 COOL SPRINGS RD
BROADWAY NC 27505
(919) 258-0415
--- Structure Information 000 000 CHANGE OUT HVAC
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE MECH / ELE
WATER SUPPLY UNKNOWN
Permit RESIDENTIAL MECHANICAL PERMIT
Additional desc .
Phone Access Code 1191147
Issue Date . . 5/12/17 Valuation . . . . 0
Expiration Date . 5/12/18
Special Notes and Comments
T/S : 05/12/2017 11: 24 AM JBROCK ----
160 MAPLEWOOD - CAROLINA LAKES
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 17-50041366 Date 5/12/17
Property Address 91749 TECH 2
PARCEL NUMBER • • - - - - - -
Application description . . . CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning UNZONED
Permit RESIDENTIAL MECHANICAL PERMIT
Additional desc .
Phone Access Code 1191147
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
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 _/—/-
999 125 R125 ONE TRADE ROUGH IN _/—/—