DOCUMENTS 9 / 19 31 ) e Application# I S5033433
Harnett County Central Permitting
PO Box d5 L,amgroc NC 27546 - Ph 910-893-7525 - Fc 910-893-2793 - www.narneaorgrpermns
Certification of Work Performed By Owner/Contractor
(Individual Trade Application) y
Ownerof Structure rr Ee J
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Owner(s) Maumg Aadress .o ;7. -
Land Owner Name is) 1)../.61.f 5fpr.,V�s R e . XT471r"Ptite_Construction or Site Address q,,er4la L,y h< c
PIN #Q S?SQ S 4-fl �-U Parcels Rei 0 37 5 0 CI es S5 Ori
Joe Cost 1O slip. Description of Work to be done 7 jPpce /�Atf )r_4rares ' 2-c
Heit
or re al- S l__
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 Lillmgton
Subdivision Lot#
JOYNER&DICKENS HVAC will prOmde [ne MECHANICAL labor on this structure.
(Contractors Name) (Trade)
I am the ouilding owner or my NC state icense'number is 9369 , which entitles me to
perform such work qn the above structure legally. All work snail complywith the State Building Code and all
other applicable State and local laws. ordinances and regulations
JOYNER&DICKENS HVAC 919 774-6841
Contractors Company Name Telephone
2218 LEE AVENUE BOOKKEEPING@WINDSTREAM.
Aadress )) Email Address
9369 �rr,.+, lI / Lc> `-Li-L
License#
Structure Owner: Contractor Signature. a... - Date: L - 'LiEla
By signing this application you affirm that you nave ..tamed permission from the above listed license holder to
purcnase permits on their benalf. If doing the work as owner you understand that you cannot rent, lease or sell
me 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
Application Number 18-50043391 Date 2/23/18
Property Address 4400 BUFFALO LAKE RD
PARCEL NUMBER 03-9586-01- -0353- -02-
Application type description CP STANDALONE TRADE - COMMERCIAL
Subdivision Name
Property Zoning PENDING
Owner Contractor
SPOUT SPRINGS EMERGENCY JOYNER & DICKENS HTG & A/C
SERVICES INC 2218 LEE AVENUE
P 0 BOX 307 SANFORD NC 27330
OLIVIA NC 28368 (919) 774-6841
Applicant
JOYNER & DICKENS HVAC
2218 LEE AVE
SANFORD NC 27331
(919) 77-4841
--- Structure Information 000 000 2 SPACE HEATER LIGHT TUBES
Other struct info PROPOSED USE ELE
Permit COMMERCIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1230895
issue Date . 2/23/18 Valuation . . . . 10540
Expiration Date . 2/23/19
Special Notes and Comments
T/S: 02/23/2018 01 : 56 PM JBROCK ----
4400 BUFFALO LAKE
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Page 2
Application Number 18-50043391 Date 2/23/18
Property Address 4400 BUFFALO LAKE RD
PARCEL NUMBER 03-9586-01- -0353- -02-
Application description . . CP STANDALONE TRADE - COMMERCIAL
Subdivision Name
Property Zoning PENDING
Permit COMMERCIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1230895
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
999 265 E265 C*ELEC FINAL / /
999 257 E257 C*ELEC OVERHEAD /
999 263 E263 C*ELEC RECONNECT / /
999 253 E253 C*ELEC TEMP POWER CERT / /
999 261 E261 C*ELEC UND POOL
999 259 E259 C*ELEC UNDER SLAB /
999 255 E255 C*ELECTRICAL UNDERGROUND /
999 251 E251 C*ELEC ROUGH IN / /
999 267 E267 C*ELEC TEMP SERVICE POLE /
HARNETT COUNTY CASH RECEIPTS
mm« CUSTOMER RECEIPT awm
Uper: SBROCK Type: CP Drawer: 1
Date: 2/23/18 52 Receipt no: 263815
Year Number Amount
2018 50043391
4400 BUFFALO LAKE RD
CAMERON, NC 28326
B1 BP - PERMIT FEES
$300.00
ELE
JOYNER & DICKENS
Tender detail
CK CHECK PAYMEN 13247 $300.00
Total tendered $308.00
Total payment $300.00
Trans date: 2/23/18 Time: 13:59:55
** THANK YOU FOR YOUR PAYMENT as