Loading...
TRADE - 731E Itbfi Application # 2/2 Please note if this application Mall In application P pen n in progress PO County Central Permitting PO Box 65 Lillington, NC 27546 with open permits. 910 -893 -7525 Fax 910. 8934703 www. hemett.org/permits ym Certification of Work Performed by Owner/Contractor (Individual Trade Application) Contractor Information I, 2 1 .tuna I r t Ko c.11.e r will complete the V lA 0 work on the project or (Name) (Trade) structure herein described. My state license number is I I• S ° f - W3 . All work shall comply with the State Building Code and all other applicable State & Local law, ordinances and regulations. Company Name: ZO* \e n Vie A. P R P Mailing Address: 2.0 ' al tie ' LI n ^ � 'P A(�i ti r.� 130 a Fr 3' t , Street Address: h 1 (�c.J', r n 1 t r tit, n e I I /P A-k k_ r') ti C a ,'"7 Business Phone: c )1 U- k V& - 7 3 O o Email Address; r ?n n n t t K c �c r e 30 o I o n- 'Company name, address, & phone must march Information on license Job Intonation Land Owners Name: Z; r 1r, cu r �1 c S v Phone: Li fl Q- I S".1 1 Tenant/Building Owner (If different): Phone: Construction or site Address: • '1 ._ . \' . • e - • - .w ,):390 PIN or Parcel p from GIS: !i` Off, '' © , O /Ob ,7 &Pacific Directions to Job from Lillinaton: • Description of work to be done: R r n no Lc, lrc:. n t'. n e t Job Cost: ISO ea Mechanical: New Unit With Ductwork _ New Unit without Ductwork _ Gas Piping _ Electrical: 200 Amp _ X200 Amp _ Service Change _ Service Reconnect _ Other _ Plumbing: Water /Sewer Tap — Number of Bathe Water Heater T permit Cost Permit Fee: $ (calculated from fee schedule) Mail In Processing Fee: 53.00 Der lop For Electrical Permits with Progress Energy we need the premise number provided. Total Enclosed; $ Make check payable & Mall completed application form to Harnett County Central Permitting (HCCP.) ^ -- %[ PO Box 65 2IE'r~Se Ca ‘1/4 -Q pain 7 a s0 O Liliington,NC27546 • Contractors Signature: v Date: 3-1C- I t °DO NOT SEND CASH. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED" Individual Trade Mail In Apollceeon 1 or 1 04/10 TO 391tId 1(01441- ASIe 8EEL89B216 LT :9T TIOL /5L /E0 eit • I= '�11Illlli 0 FOR r nrammr�nt a ,- DUDS tmi C OU►4N TAX ID11 BN:2332 POW* FEE:$l7.11 MC REV STRIP: Tib.19 e c, NW I 2N1 , .e ., e r O' OLINA GENERAL WARRANTY DEED Pvepared byI -, m: ,. 'or 188PO07 EuW 7 §a: 715.11 Parcel Identifier No. 0. • -5 Verified By County ontbe_day of 2007 By l i \ 6 Mail to: McCoy Weaver W' a C , : ' t'- 'Ray, PLLC 202 fairway Drive, Fayetteville, NC 28305 This Instrument was prepared by: , Attorney at Law Brief description for the Index: Lot ,. . , NDERSON CREEK CLIJB Subdivision T}DS DEED mode Ibis 12 march h 20D7, .. . ,... , GRANTOR GRANTEE ATKINSON BUB.DERS, INC., ' s - SAGO, and wife, I00 HAY STREET SUITE 708 • IRA : A r r FAYETTEVILLE, NC 28301 d i e t WATER ROAD 1 • -, NC, 28390 The designation Grantor and Grantee as used herein 'hail i ' . .. .. , . . .Ir baits, auacemors, and uslgns, and shall include ainguler, phial, masculine, feminine or neuter u required i can ' WITNESSETH, that the Grantor, f o r • valuable cauiderabon pa ' • d.. - . One receipt of which is hereby aclmawledgid, has and by tbese presents does grant, bargain, se nvey .' is Omntee in Se simpk, all that certain lot or parcel or land situated hi the City of Spring fake, Anderson -- ett County, North Crolinu and more particularly described as follows: BEING ell of Lot No. 255, PHASE 2 -A, in a subdivision known es AND • '. rN C . LUB, according to a plat of the same duly recorded in Map Book 2004, Page 812, Haman County Nardi ' r. Re: The Pmpeny bereirabove described was a c q u i r e d by Grantor by instrument In B .. .8, :...- .1-664. A Map Showing the above described property is recorded in Plat Book 2004, Pa:, NC Bar Assooleacn Form No. L -3 O W76, Revised 0 1977, 2002 Printed by Agreement with the NC Bu Association -1981 SoOPto Cotporadoo. 333 E. Six F•' -' • - erne. 77609 0 .6;1