DOCUMENTS \aldaI ti ^�
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Application# �ri � ITD`1
Harnett County Central Permitting
PO Box 65 Lillington,NC 27546 - Ph:910-893-7525 - F,c 910-893-2793 - www.hamettorg/pernlis
Certification of Work Performed By Owner/Contractor
(I dividual Trade ',seplication)
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Owner(s)of Structure: g L i I ,g • IA. '}.n-: 1 I C I;/
Owner(s)Mailing Address: Q. 01(I IV �Wig I 1I
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Land Owner Name(s): , f1 a _�- f f4 t . WI ' Phone: .il/ �' -b94S
Construction or Site Address: 'Air erQ,( (r 1 • 1711] 9 tt
PIN# t S4S-t--Fly -t$1' c C Pa cel# bl S D 04
o. ost: g all Des ription of Work to be done 11 'jiAr I
H? ' yA d Ila n
Mechanical: NevvwttlInit With Ductwork New Unit Without Ductwork Gas Piping_Other
Electrical': 200 Amp <200 Amp Service Change Service Reconnec(_- Other_
'For Progress Energy customers we need the premise number
Plumbing: Water/Sewer Tap Number of Baths Water Heater_
Specific Directions to Job from Lillinoton:
Subdivision,/�do�n1 �{1r�p 1 ,�-Q r✓Lot#:
I rani41' C�` it I�tp' I `�'' labor on this structure.
(Contra rs Name) ` ra e
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I am the building owner or my NC state license number is 2_u.r i O)iOWh-rt entitles me to
perform such work on the above structure legally. All work shall com y with the State Building Code and all
o •- .•.licable State and local Taws, ordinances and regulations.
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mar's Com•any N: e A. n 'ICJ Telephon-
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mail Address
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License#
Structure Owner/Contractor Signatcfe:g:a741,e 'O/ / Date: / ,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 properly 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 17-50042987 Date 12/22/17
Property Address 2659 RAYNOR MCLAMB RD
PARCEL NUMBER 01-0545- - -0044- - -
Application type description CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning PENDING
Owner Contractor
THIBODEAUX CAROLYN MATTHEWS CAROLINA COMFORT AIR INC/CLAYT
PO BOX 190
2659 RAYNOR MCLAMB RD CLAYTON NC 27520
LINDEN NC 28356 (919) 550-7711
Applicant
CAROLINA COMFORT AIR INC
5212 US HWY 70 BUS W
CLAYTON NC 27520
(919) 550-7711
--- Structure Information 000 000 HVAC CHANGE OUT
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE MECH / ELE
WATER SUPPLY NA
Permit RESIDENTIAL MECHANICAL PERMIT
Additional desc .
Phone Access Code 1223114
Issue Date . 12/22/17 Valuation . . . . 0
Expiration Date . 12/22/18
Special Notes and Comments
T/S : 12/22/2017 11:26 AM JBROCK ----
2659 RAYNOR MCLAMB RD
T/S : 12/22/2017 11:27 AM JBROCK ----
HVAC CHANGE OUT / REMOVE & REPALCE EXT
SYSTEM 3 . 5 HP PACK CHANGE BREAKER SIZE
PANEL BOX OUTSIDE CRAWL SPACE EQUIP
OUTSDIE RECONNECT ELE
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 17-50042987 Date 12/22/17
Property Address 2659 RAYNOR MCLAMB RD
PARCEL NUMBER 01-0545- - -0044- - -
Application description . . CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning PENDING
Permit RESIDENTIAL MECHANICAL PERMIT
Additional desc .
Phone Access Code 1223114
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 ***
Uper: JBROCK Type: CP Drawer: 1
Date: 12/22/17 52 Receipt no: 194838
Year Number Amount
2817 50842987
2659 RAYNOR MCLAMB RD
LINDEN, NC 28356
B1 BP - PERMIT FEES
490.00
MECH / ELE
CAROLINA COMFORT
Tender detail
CP CREDIT CARD 498.08
Total tendered 490.80
Total payment $90.00
Trans date: 12/22/17 Time: 11:28:56
** THANK YOU FOR YOUR PAYMENT **