DOCUMENTS Application# 34 G 3
Harnett County Central Permitting
PO Box 65 Lillington, NC 27546
Telephone Number: 910-893-7525 Fax 910-893-2793 www.harnett.org/permits
Application for Manufactured Home Set-Up Permit
(Please fill out each part completely)
Part I-Owner Information:
Home Owner Information (To e completed by owner of the manufactures)
Name: e� Address:II7
City: {.Q4,44ii m State: 7, Zip: 02-532G Daytime Phone: (979 'f 72--343 27
Landowner Information (To be completed by landowner, if different than above)
Name: Address:
City: State: Zip: Daytime Phone: ( )
Part II—Contractor Information (To be completed by Contractors or Homeowner,if applicable.
Name,addresA& hone mus atch information on license)
A. Set-Up Contractor Company Name:
Phone:$19-•7 -).,, 71 Address: PeP% -
City: tate: Zip: 2,7 3 T�
Setup Signature: State Lic#2.3`D
.✓.fy�� r1
B. Electrical C ntractor C ny Name: / Tip}-e.fit L—J-1_
Phone:: Address:
City: Limp( State: C- Zip: 2 R32,6
Electrician's Signature: State Lic#40 5PP As-71Q'
C. Mechanical Contractor Company N e:
Phone: Address:
City: State: Zip:
HVAC Signature: State Lie#
D. Plumbing Co trac��Cgmpany Name: ppAct y .)-!x
Phone: _ ., 57! Address: 2,. �_City: �, . State: pc 241:
P1 mb-is Si•nature: - . r,,, _ -. State Lic# C.in
Part Ill-Manufactured Home Information
Model Year:/q?3." Size: /41 X 7 Complete& follow zoning criteria sheet
Park Name: t t,ql 7Z0C44- Lot Number://
I hereby certify that I have the authority to apply for this permit, that the application is correct including the contractor
information and signatures, and that the construction or installation will conform to the applicable manufactured home
set-up requirements, and the Harnett County Zoning Ordinance. I understand that if any item is incorrect or false
information has been provided that this permit could be revoked. / / [�
I.Jegh+ALA Signature of Home Owner or Agent Date
*Effective July t,2004, a County Tax Department Moving Permit must be provided before a Set Up Permit will be issued. It is
purchased from the tax office of the county that the home is moved from. If the home is from a dealer, we need proof of year on the
Form 500 and if available,the serial number.
List of inspections and Egress requirements available upon request. Progress Energy customers must provide Premise Number.
SETUP 4/08
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1, MVR 191 (Rev 1/13) �fl
�',� CERTIFICATE OF TITLES
y„ :„ VEHICLE<IDENTIFICATION..NUMBER YEAR MODEL • MAKE BODY STYLE 1 $•
t"= NCFLR41A4Q88 C� 1995 FLEE MH r
TITLE NUMBER TITLE ISSUE DATE PREVIOUS TITLE NUMBER 1 1:-g;;
I ,..77789714279;5112 10/22/2014 000001434012313 l
a-t
ODOMETER READING ;' 1-1
�' I JANE COSBY THORNTON -
i I g 217 BRITTON `LOOP ,
ODOMETER STATUS i
d .CAMERON NC >28326..-6475
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TITLE BRANDS 1, •..
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..._................„..._... I
' ,. „ OWNER(S):"NAME AND:ADDRESS i I;•
it
JANE COSBY THORNTON
,�I 217 BRITTON LOOP
• , CAMERON NC 28326-6475
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yY" The Commisstorter of Motor Vehicles of the State of North Carolina hereby certifies that an application for a certificate of title for the herein described vehicle AL.
' 7', bas beets Eden pursuattt t4 the General Statutes of North Carolina and based on that application,the Division of Motor Vehicles is satisfied that the applicant •
is the lawful owner.Official iecords of the Division of Motor Vehicles reflect vehicle is subject to the liens,if any, /
:„ j y,I[eiein enumerated at the date of issuance
: . I ,of this`certificate.
fit 4F-_,I As WITN S,his hand and seal of this.Division of the day and year appearing in this certificate as the title issue date.
s-` + t
i, COMMISSIONER:OF MOTOR VEHICLES
z. FIRST LIENHOLDER DATE OF LIEN I I �i
"�
LIEN RELEASED BY: 1- -
1 •
SIGNATURE.. _ •. ? ;
. TITLE._ DATE_--' .
SECOND'LIENHOLDER: DATE OF LIEN` !$ x.
LIEN RELEASED BIt
•
SIGNATURE��� 1,t� '.
TITLE �� .,e_,..DA1?E.�._— 1,6
h,
'BIRD LIENHOLDER: DATE OF LIEN
. ' It .,
;• LIEN RELEASED BY:
TITI E. _ _�.— DATE ,I j•
FOURTH LIBNHOLDER, DATE OF LIEN
: LIEN RELEASED BY:, `'; :�
SIGNATURE _ __ �_-- 9�;,�
TITLE._____ DATE_ °
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�,-1 ADDITIONAL LIENS. 93645606• 112
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t- w> .,1 PO ‘1 t oo ii -�. ,+s 'k. d �'� q \. r F•h, : 7 y y ` ,;`� ANY ALTERATIONS OR ERASURES VOID TITLE fi ,�t rr a r'° ,• , ' et
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 14-50034793 Date 11/06/14
Property Address 286 BRITTON LOOP
PARCEL NUMBER . 09-9564- - -0049- -03-
Application type description CP MOBILE HOME PARK
Subdivision Name
Property Zoning PENDING
Owner Contractor
THORNTON JANE RODNEY BROWN
3212 TAYLORSVILLE RD 23 POLLY LANE
BARBOURSVILLE VA 22923 SANFORD NC 27330
(919) 775-8871
Applicant
THORNTON JANE #11
--- Structure Information 000 000 14X80 2BDR SWMH IN PARK
Other struct info # BEDROOMS 2 . 00
MOBILE HOME YEAR 1994 . 00
PROPOSED USE SWMH
SEPTIC - EXISTING? EXIST
Permit MANFACTURED HOME PERMIT
Additional desc .
Phone Access Code 1060516
Issue Date . . . 11/06/14 Valuation . . . . 40000
Expiration Date . 11/06/15
Special Notes and Comments
T/S : 10/21/2014 10 : 00 AM VBROWN - ---
286 BRITTON LOOP CAMERON 28326, SAND
ROCK MHP #11
27W, 24W, HILLMON GROVE RD, LEFT ON
BRITTON LOOP
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 14-50034793 Date 11/06/14
Property Address 286 BRITTON LOOP
PARCEL NUMBER . 09-9564- - -0049- -03-
Application description . . CP MOBILE HOME PARK
Subdivision Name
Property Zoning PENDING
Permit MANFACTURED HOME PERMIT
Additional desc .
Phone Access Code 1060516
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
10 501 T501 R*MOBILE HOME FOUND. / M. WALL _/_/`
10 307 P307 R*PLUMB WATER CONNECTION _/ /_
20 818 Z818 PZ*ZONING INSPECTION / /
20 814 A814 ADDRESS CONFIRMATION / /_
30 507 T507 R*MANUFACTURED HOME FINAL / /_
999 H824 ENVIR. OPERATIONS PERMIT /_/_
999 H828 ENVIRO. WELL PERMIT / /