DOCUMENTS Application# ` J 3 ,y19
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) c c�
Owner(s)of Structure: c- P,�` C� � Phone: -d t.° bit— �� (l
Owner(s)Mailing Address: \ 5 3 ( o S)C'. �-?J
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Land Owner Name(s): Q)C 7 C--k 1Z Un Phone: 9.10- 81'1 — 1 q (el
Construction or Site Address:
PIN# Parcel#
Job Cost: Description of Work to be done
Iz �9 ge,k
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 Lillinaton:
Subdivision: Lot#:
Slav rN� e
I Q\(-9■.d J,11" will provide the -Lt' t k S U labor on this structure.
(Contractors Name) (Trade)
I am the building owner or my NC state license number is .1.55Y 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.
- 43.3 Telephone
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Contra ors ompany Name P
35 a c( 1 O( eA G .
Address 4(6(Q Email Address
553 37
License# /,
Structure Owner!Contractor Signature: / � � Date: 1/675 r
By signing this application you affirm that u haveptained permission from the above listed license holder to
purchase permits on their behalf. If doing the work -s 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
/ 2_ 7, 3 /
Date i ' ) (1 .) L I,
Plan Box # Job Name i (_(ft) fjLLLLL
1 I r\
App # `-f C��1� ��-�c Valuation 'L-I (0 VS Heated SQ Fee
q 6 8
Inspections for SFD/SFA
Crawl Slab Mono Basement
Footing Footing Plum Under Slab Footing
Foundation Foundation Ele. Under Slab Foundation
Address Address Address Waterproofing
Open Floor Slab Mono Slab Plum Under slab
Rough In Rough In Rough In Address
Insulation Insulation Insulation Slab
Final Final Final Open Floor
Rough In
Insulation
Final
h/
Foundation Survey - Envir. Health ',��� Other
Additions/ Other ILO-LW
Lc ("te,t
Footing
Foundation
Slab
Mono
Open Floor
Rough In
Insulation
Final
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 14-50034780 Date 11/07/14
Property Address 1535 COOL SPRINGS RD
PARCEL NUMBER 13-0611- - -0024- -14-
Application type description CP ADD & ALTER RESIDENTIAL
Subdivision Name CAMPBELLS CREEK ESTATES REV
Property Zoning PENDING
Owner Contractor
BOTELLO BRIAN #13-14 AKR BUILDERS
1535 COOL SPRINGS RD 1796 CHELSEA PLACE DRIVE
LILLINGTON NC 27546 KERNERSVILLE NC 27284
(910) 814-1969 (336) 345-1865
Applicant
A K R BUILDERS
- -- Structure Information 000 000 12X39 DECK ADDITION
Flood Zone FLOOD ZONE X
Other struct info SEPTIC - EXISTING? EXISTING
WATER SUPPLY WELL
Permit RESIDENTIAL BUILDING PERMIT
Additional desc .
Phone Access Code 1059062
Issue Date . . . 11/07/14 Valuation . . . . 4680
Expiration Date . 11/07/15
Permit LAND USE PERMIT
Additional desc . 12X39 DECK ADDIT
Phone Access Code 1060417
Issue Date . . . 11/07/14 Valuation . . . . 0
Expiration Date . 5/06/15
Special Notes and Comments
T/S : 10/17/2014 10 : 19 AM DJOHNSON --
CAMPBELLS CREEK LOTS 13-14
1535 COOL SPRINGS RD
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 14-50034780 Date 11/07/14
Property Address 1535 COOL SPRINGS RD
PARCEL NUMBER 13-0611- - -0024- -14-
Application description . . CP ADD & ALTER RESIDENTIAL
Subdivision Name CAMPBELLS CREEK ESTATES REV
Property Zoning PENDING
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
Permit type . . . . RESIDENTIAL BUILDING PERMIT
999 101 B101 R*BLDG FOOTING / TEMP SVC POLE / /_
999 131 R131 ONE TRADE FINAL / /_
Permit type . . . . LAND USE PERMIT
999 818 Z818 PZ*ZONING INSPECTION / /_
999 820 Z820 PZ*ZONING/FINAL INSPECTION / /_