DOCUMENTS Application # 1 Lt'S0 ::)340S*0
Harnett County Central Permitting
PO Box 65 Lillington,NC 27546 - Ph: 910-893-7525 - Fx:910-893-2793 - www.harnett.org/permits
Certification of Work Performed By Owner/Contractor
(Individual Trade Application)
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Owner(s)of Structure: 414 �.4��ll4. Phone: 9O - CJ ! - Z
Owner(s) Mailing Address: P 0 .9& i) 4
A 01
Land Owner Name(s): Phone:
Construction or Site AddressF.'.7r�
PIN# Parcel# CY1 U.-LAO 110 .?'•\ La4
Job Cost l ADD' Description of Work to be done
Nom— LI(OS' (-)
Mechanical: New Unit With Ductwork New Unit Without Ductwork_ Gas Piping Other "6 c.SNI5R&Arrf
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 F—POLU
Specific Directions to Job from Lillinpton: r-
"CAY+MSS
Subdivision: _Lot#: fl
fjj/ V//� /will provide the `�"�`
I p ���i]� labor on this structure.
(Contractors Name) (Trade)
I am the building owner or my NC state license number is /,1 -, 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.
fil�' ;d/7`47/ P1702 ��"7
Contractors Company Name Telephone
/,?// ,/,1 i,'-eic2)
Address Email Address
License#
Structure Owner/Contractor Signature: _�ijr(!�( Ii ` Date: h'r
By signing this application you affirm that you have or ed 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
fit% TOWN OF COATS ZONING PERMIT APPLICATION
NOTE: Attach a site plan that includes property lines(front,side,and rear),location of proposed structures(including driveways,
decks,etc.),and existing structures. This plan should be drawn to scale. Also,in order to receive a Privilege License from the Town
of Coats to open a business,you must have a valid Zoning Permit, along with all applicable inspections from Harnett County.
Permit No.: Cli 30i 144 ri I Date: 1 '; Fee
Parcel ID*: VCAZ\C 3) C ' iAf-) Area Zoned As:
APPLICANT: PROPERTY OWNER:
Name (Print) 1` _ 1iLLU.! . Name
Address (?C) Q)G Y. 10(,f f Address 4.
City,State CWk -� .3(2-. City,State
Zip Code C)(15 L Zip Code
Phone# G o scii -(pal: Phone#
Location of Property: IN-TOWN V ETJ ETJ(contiguous)
Present Use of Property:
PROPOSED USE OF PROPERTY:
[ ] Single Family Dwelling: #Rooms: #Bedrooms: Square Feet:
[ ]Multi Family Dwelling: #of Units: #Bedrooms(per unit): Square Feet(per unit)
[ ]Mobile Home(single lot): Single wide: Double Wide:
[ ]Mobile Home Park: Section 16,Zoning Ordinance must apply
[ ] Business: r, Total#of employees per day Type of business
[ Others(specify):
[ ]Existing structure: Renovate: Addition: Demolish:
WATER AND SEWER SUPPLY:
Water: [ ] Private [ / ub1ic [ ] Proposed [ ]Existing
Sewer: [ ] Private [ blic [ ]Proposed [ ]Existing
Applicant: I certify that all of the information presented in this application is true,complete, and accurate to the
best of my knowledge. False information is grounds for rejection of the application.
;!'
Signature: . , l,,.) , AM/ --- Al Date:
ZONING ADMINISTRATO USE ONLY
Notes: LOC 3 '1.�-L -&Q1- CDo f/1/4 -ss e- 4Jc7 c-T/E,►l./
Approved: [ ] Denied: [ ] 1
APPR•V •
Zoning Administrator: 1 Date: l I li
r�lp a61�•T:ta..
Post Office Box 675 • Coats, North Carolina 27521
(9101897-5183 voice • (910) 897-2662 fax
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 14-50034680 Date 10/01/14
Property Address 24 E MAIN ST
PARCEL NUMBER 07-0690-16-21-0006- - -
Application type description CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning COATS
Owner Contractor
PARRISH MARK A & JUDY N PATRICK ELECTRICAL CONTRS LLC
612 CRAWFORD RD 1309 NORTH MAIN STREET
COATS NC 27521 LILLINGTON NC 27546
(910) 897-6384 (910) 893-5774
Applicant
COATS CHAMBER OF COMMERCE
PO BOX 667
COATS NC 27521
(910) 897-6213
--- Structure Information 000 000 TEMP POLES - COATS FARMERS DAY - 8 POLES
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE ELE
WATER SUPPLY NA
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1055752
Issue Date . . . 10/01/14 Valuation . . . . 0
Expiration Date . 10/01/15
Special Notes and Comments
COATS
PRE #
T/S: 10/07/2013 08 : 34 AM JBROCK - ---
•
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 14-50034680 Date 10/01/14
Property Address 24 E MAIN ST
PARCEL NUMBER 07-0690-16-21-0006- - -
Application description . . CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning COATS
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1055752
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
999 211 E211 R*ELEC ABOVE CEILING / /
999 221 E221 R*ELEC FINAL / /_
999 217 E217 R*ELEC RECONNECT / /_
999 205 E205 R*ELEC UNDER SLAB _/ /
999 215 E215 R*ELEC. UND. POOL _/ /
999 213 E213 R*ELECTRICAL UNDERGROUND / /
999 131 R131 ONE TRADE FINAL / /
999 125 R125 ONE TRADE ROUGH IN / /