DOCUMENTS Application# 4 0
Harnett County Central Permitting
PO Box 65 Lillington,NC 27546 - Ph:910-893-7525 - Fx: 910-893-2793 - www.hamett.org/permits
Certification of Work Performed By Owner/Contractor
(Individ -I Trad- Application)
Owner(s)of Structure: _ A icY ' _ 2/ P^hho ,ne: q l t I> 9 ey- 519 (O
Owner(s) Mailing Address: E { Q. Co l\I nS JGe'•
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Land Owner Name(s): ( Ml$121±4
\yct S,, 1I1v / Phone: 5k%�
Construction or Site Address: $ 2T1"tq---
PIN# Parcel#
Job Cost_:e4 Description of Work to be done 0 +-..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 Lillington:
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Subdivision:diivI 1 Lot#: _I
I ((.QV/`l'} will provide the labor on this structure.
(Contractors Na (trade)
I am the building owner or my NC state license number is ,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.
Contractor's Company Name Telephone
Address Email Address
License# Virdrer
Structure Owner/Contractor Signature. Date: 5-C-' 1-'2'019-
By
-Zr01 `'-By signing this application you affirm that you have ob - ed permis- from the above listed license holder to
purchase permits on their behalf. If doing the wor- owner you understand that you cannot rent, lease or sell
the listed property for 12 months after completi: of the listed work.
*Company name, address, & phone must match information on license
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 16-50040397 Date 5/01/17
Property Address 587 JOE COLLINS RD
PARCEL NUMBER 13-0630- - -0081- - -
Application type description CP FARM BUILDING/ETC.
Subdivision Name
Property Zoning PENDING
Owner Contractor
GENTRY SOMMER C & CHARLES A JR OWNER
730 COLLINS RD
LILLINGTON NC 27546
Applicant
GENTRY CHARLES A
587 JOE COLLINS RD
LILLINGTON NC 27546
(910) 984-5196
--- Structure Information 000 000 55X60 FARM BLDG /STORAGE /BIRDS OF PREY
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE FARM BLDG
SEPTIC - EXISTING? NA
WATER SUPPLY COUNTY
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc . WIRE BLDG
Phone Access Code 1189349
Issue Date . . . 5/01/17 Valuation . . . . 0
Expiration Date . 5/01/18
Special Notes and Comments
T/S : 12/15/2016 02 : 32 PM JBROCK --- -
587 JOE COLLINS 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 16-50040397 Date 5/01/17
Property Address 587 JOE COLLINS RD
PARCEL NUMBER 13-0630- - -0081- - -
Application description . . CP FARM BUILDING/ETC.
Subdivision Name
Property Zoning PENDING
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc . WIRE BLDG
Phone Access Code 1189349
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
999 211 E211 R*ELEC ABOVE CEILING _/_/_
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 _/—/—