DOCUMENTS P.2
Nov 061704:34p R&R Refrigeration Heating 910-920-2137^ �/ � �
\ , n Application# C 15 J.•�7'f -i I u
Harnett County Central Permitting
PO Box 65 Lillington,NC 27546 - Ph:910-893-7525 - Fs 910-893-2793 - wuw.hamett.org/pemdh
Certification of Work Performed By Owner/Contractor
(Individual Trade Application)
, r
Owner(s)of Structure: �r i 5 r4jcAs rn Phone: 4'1 b1.'ct'-n
Owner(s)Mailing Address:r-7 144 4i cAo)e r
II,, II-('ina-ccr TXr-X1 C! 3119?
Land Owner Name(s): fvri < [-1a�me6 Phone: “(3-1.-Ci 42- LLS(
Construction or Site Address: 'SE, 110L- C n tact.kc
PIN#O5 -k • S ' 1C]S3'0( Parcel# 0 14 eor-11
Job Cost Description of Work to be donirrfl 51-at k' dry 4br1 (,(J C^QS oaCJC
GG��tt��''e
Mechanical: New Unit IIp.Juclwork V New Unit Without Ductwork Gas Piping Other
Electrical*: 200 Amp_c200 Amp Service Change Service Reconnect V Other
•For Progress Energy customers we need the premise number
Plumbing: Water/Sewer Tap_ Number of Baths Water Heater
Specific Directions to Job from Lillington:
Subdivision: -r 1I H a
Lot#:
•
l I�. y-r ��,t-s w�,i provide the VP, labor on this structure.
(Contractors Name) (Trade) f SD`(,t(
I am the building owner or my NC state license number is,�11C3 t7d' , which entitles me to
perforin 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.
�c ��rigctc� n
14'a-411-5-PrieSaTi,c £(0-56Ws-51zc
Contractors CompanMarne Telephone
-1?C3, Rosi t{41 I-Icer/111 07349 rccues�-GJn-or.chn
Address Em Address
q?953D 1 ISD`r'-
License#
Structure Owner l Contractor Signature: -f-theit.t ) ) .a9 Date: 1 ((_J(7
By signing this application you affirm that you have obtained permission from the above listed license holder to
purchase permits on their behalf. If doing the work as owner you understand 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
Nov 061704:33p R&R Refrigeration Heating 910-920-2137 p.1
R&R Refrigeration, Heating & AC Inc.
Jr 125 Missy Byrd Dr.
Jr_ J • Hope Mills, NC 28348
Phone: 910-568-5135
Fax: 910-920-2137
SUBJECT: Request for Mechanical&Electrical DATE: 11/6/17
I. Please process the mechanical and electrical permit application for 85 Dow Cir. Hope Mills,NC 28348.
My credit card# is Visa,4912-3900-0371-8495, 05/20,Rosemary Guest, R&R Refrigeration,Heating.
2. Please direct any questions or concerns to the office or Robert Guest @ 910-988-9998
Thanks in advance for your assistance.
semi Crtre
Vice President
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 17-50042710 Date 11/07/17
Intersection
Property Address 91749 TECH 2
PARCEL NUMBER - - - - - - -
Application type description CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning UNZONED
Owner Contractor
HOLMES KRIS R & R REFRIGERATION HTG/AC
2144 RIDGE DR WINTER PARK, FL PO BOX 447
32792 HOPE MILLS NC 28348
WINTER PARK FL 32792 (910) 568-5135
(407) 943-6086
Applicant
R & R REFRIGERATION HEATING
& AIR INC
PO BOX 447
HOPE MILLS NC 28348
(910) 568-5135
--- Structure Information 000 000 INSTALL 2 . 5 TON LP GAS PACK
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE GAS PACK
WATER SUPPLY UNKNOWN
Permit RESIDENTIAL MECHANICAL PERMIT
Additional desc .
Phone Access Code 1217546
Issue Date . . . 11/07/17 Valuation . . . . 0
Expiration Date . 11/07/18
Special Notes and Comments
T/S : 11/07/2017 09 : 57 AM JBROCK ----
85 DOW CIR
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 17-50042710 Date 11/07/17
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 1217546
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 / /
HARNETT COUNTY CASH RECEIPTS
*** CUSTOMER RECEIPT ***
Oper: TRROCK Type: CP Drawer: 1
Date: 11/87/17 52 Receipt no: 142526
Year Number Amount
2817 58842718
91749 TECH 2
LILLINGION, HC 27546
PIBP - PERMIT FEES
NECN 198,88
RAR
Tender detail
CP CREDIT CARD 198.88
Total tendered 198.88
Total payment 198.08
Trans date: 11/87/17 Time: 9:59:23
** THANK YOU FOR YOUR PAYMENT **