TRADE if, -P,2 z4 rl
Application # , = «a
Harnett County Central Permitting ,aw
PO Box 65 Lillington, NC 27546
910- 893 -7525 Fax 910- 893 -2793 ;„ tq'
www.harnett.org/permits e
Certification of Work Performed By Owner /Contractor
(Individual Trade Application) ..; S.
at s / / cost C
Owner (s) of Structure: JUST•n3 (4 eitee Phone:1st q15 tot'/ • ° ?'
Owner (s) Mailing Address: SO LAU.bi -ANb PL--)e7 !
SFVJFo2A r f� 1 '.'
Land Owner Name (s): Phone:
Construction or Site Address: $. • lcc v..16 Srnrr 33rb Me_ A/ 3
PIN or Parcel # from GIS: 9 — Y / )7) ,2 / '4 r a 9 4 1
Job 'Cost: Description of Work to be done //24
Mechanical: New Unit With Ductwork _ New Unit Without Ductwork _ Gas Piping
'i
Electrical': 200 Amp <200 Amp Service Change _ Service Reconnect _ Other _ .i
• ForrProgr¢ Energy cus mars we need the premise number
9�
Plumbin -Wfe o !' Tap Number of Baths _ Water Heater `.i
Specific Directions to Job from Lillinaton:
1-10-Y 2i bJ Ti)waen .SAN fi.eA/ 1yFrreviu,E Ariesecrx 14 Mitts. Lai Da
} et� 2 ; urrAw t_t&n 12b isr-r Ohl CAP uiiNPr LAM Y (C.AgN-4 /HweS> . LP FT
l T - /NTrr co.J Pi 614 Dn] LHte-FLPROA ('RT )km-r 0...1 J Rte om' N
Subdivision: up � I i/ Lot #: #1 N
I / 4 ✓ 1,1ti1 P/ will provide the /�(i14rW _ labor on this structure.
Contractors Name) (Trade)
I am the building owner or my NC state license number is AP &Jinn» - , 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. 1
Structure owner(s) signature:
( 7 1 ,!4 /� W CA- Date: 23 .QW ;2 0( o
1
1
Company Name: Phone:
Address: — I
County: ontractor's License #:
t
Contractor's Signatur • Date: 1
*Com me, address, & phone must match information on license.
TRADE 4/08
4
!U UNIU
FOR REGISST REGIST OF DEEDS
TT O F llliy NC
r f' lt:rT'; f raj. 2BJAN �:@�:43 AM
�i ► E T a BK:2704 PG :571 -573 FEE:$22.01
NC REV STRIP:1544M
. � . iL .,.,��1► ►1�_
!CRUET 11 281 J
0 OLINA GENERAL WARRANTY DEED
Excise Tax: $ 544.00 • Parcel Identifier No. 9596 -30-.: • -• •� _ Calmly on day of . 2
Hr
MatUBox to: The Barfield Law Firm, nod venue, Ste 200, Fayetteville, NC 28303
Ibis i ns t rumen t was p The The B iel4'I3,ly um 2 re ewood Avenue, Ste 200, Fayetteville, NC 28303
grid de for 16e index: LT 111, BL , C LINA LAKES
THIS DEED made file 23rd day of December , 20J , by " • • -.,'
GRANTOR S 1 GRANTEE
Jason Price Construction, Inc. ustin ". Crocker and wife,
170 Pine State Street • r .4 Crocker
Lillington, NC 27546 Ian • 'ort Street
one C 7332
sad Grantee as used herein slmll include sdd parties, .. • . , and assigns, and shall include
singular, pbnal, masculine, feminine or neuter as required by context.
WITNESSETB, that the Grantor, for a valuable consideration paidbydui Grantee, i• . M hereby aclmoviedgetcl,has
and by dale presents does pant. bargain, eaUandconvey unto rho Grantee in fee :•..•, I perodoflandatuated
lathe City of Sanford Barbeque Townshhip, . Nadi Carolnaand
'mare particularly described as Pillows:
BEING all of Lot No. 111. Block N, according to the map of Carolina Lakes, Phase V, rec.‘ • n ' ■ - C, Slide 134 -B,
Harnett County Registry. Reference to said map is hereby made for a more perfect descripti .
This lot conveyed subject to Restrictive Covenants recorded in Book 815, Page 336, Harnett Co r .
The property hereinabove described was acquired by Grantor by instrument recorded in Book 2. Y • '• es 51 .
A map abowing the above described property is recorded hi Plat Hook C page 134 .
NC Bar Association Form No. L-3 C 1976, Revised 0 1977, 2002
Printed by Agreement wick the NC Bar Association —1981 SoftPro Corporation, 333 E. Sit Forks Rd, . • C - • 4
410"