DOCUMENTS /I G I (g Application# I ih....MD*- ? 2a
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: Ulric 71-414 .Dad// Phone:240-'i'7 Z-Z't62
Owner(s)Mailing Address:
Land Owner Name(s): /, {' Phone:
Construction or Site Address: en (Af r$VolJ `,ane 5peAti Lake/ /UC Z '590
PIN# Parcel# II
Job Cost: 443-10.00 Description of Work to be done Replate Zki Qown9Yem$ HVf(.
.to i . •i_4
Mechanical: New Unit With Ductwork_ New Unit Without Ductwork✓ Gas Piping// Other
Electrical*: 200 Amp_<200 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�xl1to Job from Lillington:
SubdiSubdivision: Ait/d/fOh ( nek Lot#:
I ✓t(mx✓ 4, Allen will provide the Ii VI?C labor on this structure.
(Contractors Name) (Trade)
I am the building owner or my NC state license number is '510'7) ,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.
Eoslern (arn/lnrt Ceelf ri,e Cm,anry 9'Ya- Z13'7509
Contractors Company Name Telephone
P p, Box 75-517q,ftfitlfutih,tl/C Zld31N 14llen5 ,P1I/ aPI,Con1
Address mail Address
3O l
License# //y-
Structure Owner/Contractor Signature: e'. tr/. Date: "5 -9-70(9
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 Devic
#iprfr,t1<n; � h Ekcjr%tol
Lhen5c #
lronr N..,6rr.
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Application Number 18-50043512 Date 3/09/18
Intersection
Property Address 91749 TECH 2
PARCEL NUMBER - - - - - - -
Application type description CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning UNZONED
Owner Contractor
DAVID CHRISTOPHER J & DAVID EASTERN CAROLINA SERV CO
CHRISTINA N 1701 IRELAND DRIVE
77 COTTSWOLD LN SPRING LAKE, FAYETTEVILLE NC 28304
SPRING LAKE NC 28390 (910) 213-7509
Applicant
DAVID CHRISTOPHER J & DAVID
CHRISTINA N
77 COTTSWOLD LN SPRING LAKE,
SPRING LAKE NC 28390
(240) 772-2762
--- Structure Information 000 000 HVAC CHANGE OUT 2 SYSTEMS
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE MECH / ELE
WATER SUPPLY UNKNOWN
Permit RESIDENTIAL MECHANICAL PERMIT
Additional desc .
Phone Access Code . 1233030
Issue Date . . . . 3/09/18 Valuation . . . . 0
Expiration Date . . 3/09/19
Special Notes and Comments
T/S : 03/09/2018 11 : 07 AM JBROCK ----
77 COTTSWOLD LN SPRING LAKE, NC 28390
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 18-50043512 Date 3/09/18
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 1233030
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 /
** 1N3MA0d 800A 808 90A 0NUHI as
I1:2P11 :a111 91/60/F :agep Suea.l
00'068 3uawbed le;ol
00'068 paaapua4 Ie7o1
00'068 0803 1I0383 d3
lie;ap aapual
91,111080 N831503
1IW83d H33W
00'068
533! 1IM9490 3H 4N0190'11Il
H331 64L16
2I04009 0102
;am aapunH aeaA
919192 :ou 4draoa8 20 91/60/1 rayed
I :aanea0 d3 :adbl N30801 :1ad0
exp 1dI3338 83140/503 raa
S1dI3333 403 A114103 113089H