COMMERICAL LAND USE 'Each section below must be filled out by Application# ii SOC:j—kl / pas
whoever is performing the work. Must be Harnett County Central Permitting
owner or licensed contractor. Address, PO Box 65 LIllington,NC 27546
company name 8 phone must mattlm 910-893-7525 Fax 910-893-2793 www.harnett.org/permits
information on state license. COMMERCIAL
Application for Building and Trades Permit
Owner's Name: c III tit I)n;tcr54{„ Date: Ll ')-0-1.7
Site Address: II I( Phone: c110-8.13 - 16U)
Directions to job site from Lillington:
Subdivision: Lot:
Description of Proposed Work:
Heated SF Unheated SF
General Contractor Information: Building Cost$ S,000 4 oo
s;Atm; n, 6.454+4% of Dan c-teekr 6K.. ito-443- c8`l46
Building Contractor's Company Name Telephoner�
0O Dor Iao0 R es er�t(cItOca75aJ
s 2-14-5CJ5i-HC, LOM
Address Email Address
6:2-6 99
Sign ure of Owner/Contractor/Officer(s)of Corporation License#
Electrical Contractor Information: Electrical Cost$ Si Doo •7>
Description of Work Service Size: Amps #T-Poles
'Ce'KJ: Ieok•t , c lira- 65f- 2-a‘i7
Electrical Contractor's Company Name Telephone
OB L2x 3gig A:ec* 279,4 tem c'laiewvfic(ecirk. tvzt
Address EmaillI Addressu
O
Signature of Owner/Conic or/Officer(s)of Corporation License#
Mechanical Contractor Information: Mechanical Cost$
Description of Work #Units
Mechanical Contractor's Company Name Telephone
Address Email Address
Signature of Owner/Contractor/Officer(s)of Corporation License d
Plumbing Contractor Information: Plumbing Cost$ as,000,00
Description of Work " #Baths
YD,nfs Fleck;“ 14"w `7/4- 631- J>17
PlumbingnContractor's Company Name Telephone
1'd Par 341$ Ant;,-e, tic aicol le_ewiQ y~Le lkklrc- cnn
Addressn � CCyy / Email Address
�v�x r(; !{// 4161
Signature of Owner/Contras Offcer(s)of Corporation License#
Insulation Contractor Information
Insulation Contractor's Company Name&Address Telephone
`NOTE: General Contractor must fill out and sign the second page of this application
( uiia16i I I i,,.mni, 1 or, 3/10
Sprinkler Contractor Information
Sprinkler Contractor's Company Name Telephone
Address Email Address
Signature of Officer(s)of Corporation License#
Fire Alarm Contractor Information
Fire Alarm Contractor's Company Name Telephone
Address Email Address
Signature of Officer(s)of Corporation License#
Driveway Access- NC Department of Transportation Driveway Access/Pennit? Yes No
I hereby certify that I have the authority to make necessary application, that the application is correct
and that the construction will conform to the regulations in the Building, Electrical, Plumbing and
Mechanical codes, and the Harnett County Zoning Ordinance. I state the information on the above
contractors is correct as known to me and if my changes occur including listed contractors, site plan,
number of bedrooms, building and trade plans, Environmental Health permit changes or proposed use •
changes, I certify it is my responsibility to notify the Harnett County Central Permitting Department of
any and all changes.
Expired Permit Fees -6 months to 2 years permit re-issue fee is$150.00. After 2 years re-issue fee
is charge, at full price per current -e schedule.
401"j/ir .� 4 ter
Li-?kin- t7
gnature of Owner/Contramor/Officer(s)of Corporation Date
Affidavit for Worker's Compensation N.C.G.S. 87-14
iThe un dersigned applicant being the:
J General Contractor Owner Officer/Agent of the Contractor or Owner
Do hereby confirm under penalties of perjury that the person(s),firm(s)or corporation(s)performing the work
set forth in the permit:
I/ Has three(3)or more employees and has obtained workers'compensation insurance to cover them.
Has one(1)or more subcontractors(s)and has obtained workers'compensation insurance to cover
them.
Has one(1)or more subcontractors(s)who has their own policy of workers'compensation insurance
covering themselves.
Has no more than two(2)employees and no subcontractors.
While working on the project for which this permit is sought it is understood that the Central Permitting
Department issuing the permit may require certificates of coverage of workers compensation insurance prior
to issuance of the permit and at any time during the permitted work from any person,firm or corporation
carrying out the work.
Company or Name: v }easint t iris-i) e.t oE- 73v;es Ceee--/ 1.-1.--CSign wlTitle: 17k 11 Date: y-ao.47
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 17-50040725 Date 4/20/17
Property Address BURT ST
PARCEL NUMBER 11-0670- - -0200- - -
Application type description CP NEW SCHOOLS & EDUCATIONAL
Subdivision Name HARTWELL CAMPBELL PROPERTY
Property Zoning RES/AGRI DIST - RA-30
Owner Contractor
CAMPBELL UNIVERSITY ENGINEER SOUTHEASTERN CONSTRUCTION OF
PO BOX 97 BUIES CREEK, LLC
BUIES CREEK NC 27506 PO BOX 4200
(910) 893-1610 BUIES CREEK NC 27506
(910) 893-8486
Applicant
SEC, LLC ENGINEERING SCHOOL
PO BOX 4200
BUIES CREEK NC 27506
(910) 893-8486
--- Structure Information 000 000 SCHOOL OF ENGINEERING
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE SCHOOL OF ENGIN
SEPTIC - EXISTING? SEWER
Permit COMMERCIAL BUILDING PERMIT
Additional desc .
Phone Access Code 1188143
Issue Date . . . 4/20/17 Valuation . . . . 5000
Expiration Date . 4/20/18
Permit COMMERCIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1188150
Issue Date . . . 4/20/17 Valuation . . . . 5000
Expiration Date . 4/20/18
Permit LAND USE PERMIT
Additional desc
Phone Access Code 1188168
Issue Date . . . 4/20/17 Valuation . . . . 0
Expiration Date . 10/17/17
Permit COMMERCIAL PLUMBING PERMIT
Additional desc
Phone Access Code . 1188176
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 17-50040725 Date 4/20/17
Issue Date . . . . 4/20/17 Valuation . . . . 250000
Expiration Date . . 4/20/18
Special Notes and Comments
T/S: 02/09/2017 12 : 24 PM DJOHNSON --
PROPERTY DIRECTLY BEHIND THE PHARMACY
BUILDING ON BURT ST.
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 3
Application Number 17-50040725 Date 4/20/17
Property Address BURT ST
PARCEL NUMBER 11-0670- - -0200- - -
Application description . . CP NEW SCHOOLS & EDUCATIONAL
Subdivision Name HARTWELL CAMPBELL PROPERTY
Property Zoning RES/AGRI DIST - RA-30
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
Permit type . . . . COMMERCIAL BUILDING PERMIT
10 151 C151 C*BLDG FOOTING / /
10 814 A814 ADDRESS CONFIRMATION / /
20 179 0179 C*BLDG FINAL / /
999 163 0163 C*BLDG FLOOR FRAMING / /
999 155 C155 C*BLDG FOUNDATION / /
999 153 C153 C*BLDG ROUGH IN / /
999 159 C159 C*BLDG SLAB INSP / /
999 157 C157 C*BLDG WATERPROOFING / /
999 177 C177 C*HOOD SYSTEM / /
999 185 I185 C*INSULATION INSPECTION / /
999 175 C175 C*MOD MARRIAGE WALL / /
999 173 C173 C*MODULAR INSPECTION / /
999 161 C161 C*MONOLITH SLAB --/--/--
999
/999 169 C169 C*OVERHEAD ELE, MECH, PLB / /
999 165 C165 C*OVERHEAD FOR BUILDING / /
999 171 0171 C*REBAR INSPECTION / /
999 828 S828 C*SIGN INSPECTION / /
999 167 C167 C*WALL INSPECTION / /
999 822 H822 ENVIR. HLTH/SANITATION FINAL / /
999 H824 ENVIR. OPERATIONS PERMIT / /
999 880 F880 FM*ABOVE CEILING / /
999 878 F878 FM*AGST/UST PIPES / /
999 852 F852 FM*DAYCARE INSPECTION / /
999 854 F854 FM*FINAL INSPECTION / /
999 850 F850 FM*FIRE ALARM / /
999 884 F884 FM*FIRE MISC INSPECTION / /
999 870 F870 FM*FIRE WORKS / EXPLOSIVES / /
999 856 F856 FM*FIXED FIRE SUPPRESSION / /_
999 882 F882 FM*FOGGING OR FUMIGATION / /
999 858 F858 FM*SPRINKLER CERT TEST / /
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 4
Application Number 17-50040725 Date 4/20/17
Property Address BURT ST
PARCEL NUMBER 11-0670- - -0200- - -
Application description . . CP NEW SCHOOLS & EDUCATIONAL
Subdivision Name HARTWELL CAMPBELL PROPERTY
Property Zoning RES/AGRI DIST - RA-30
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
999 864 F864 FM*SPRINKLER-FLOW / /
999 860 F860 FM*SPRINKLER-FLUSH / /
999 862 F862 FM*SPRINKLER-HYDRO / /
999 866 F866 FM*STANDPIPE / /
999 872 F872 FM*TANKS-ABANDON IN PLACE / /
999 874 F874 FM*TANKS-INSTALLATION / /
999 876 F876 FM*TANKS-REMOVAL / /
999 868 F868 FM*TENTS / /
999 357 P357 C*PLUMB UNDER SLAB / /
999 MISC COMMERCIAL MISCELLANEOUS / /
Permit type . . . . COMMERCIAL ELECTRICAL PERMIT
999 265 E265 C*ELEC FINAL / /
999 257 E257 C*ELEC OVERHEAD / /
999 263 E263 C*ELEC RECONNECT / /
999 253 E253 C*ELEC TEMP POWER CERT / /
999 261 E261 C*ELEC LIND POOL / /
999 259 E259 C*ELEC UNDER SLAB / /
999 255 E255 C*ELECTRICAL UNDERGROUND / /
999 251 E251 C*ELEC ROUGH IN / /
999 267 E267 C*ELEC TEMP SERVICE POLE
Permit type . . . . LAND USE PERMIT
999 818 Z818 PZ*ZONING INSPECTION / /
999 820 2820 PZ*ZONING/FINAL INSPECTION / /
Permit type . . COMMERCIAL PLUMBING PERMIT
999 361 P361 C*PLUMB FINAL / /
999 359 P359 C*PLUMB OVERHEAD / /
999 355 P355 C*PLUMB SEWER CONNECTION / /
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 5
Application Number 17-50040725 Date 4/20/17
Property Address BURT ST
PARCEL NUMBER 11-0670- - -0200- - -
Application description . . CP NEW SCHOOLS & EDUCATIONAL
Subdivision Name HARTWELL CAMPBELL PROPERTY
Property Zoning RES/AGRI DIST - RA-30
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
999 353 P353 C*PLUMB WATER CONNECTION /_/_
999 351 P351 C*PLUMB ROUGH IN /
999 357 P357 C*PLUMB UNDER SLAB / /
999 363 P363 C*PLUMB GREASE TRAP / /
Fads eemat bebw must a Med out M I Application lto ( ! S)Cy� / as
Mower a performing the work. Mud be fill Harnett County Central Permitting
company a umne.d contractor. Mem',a�e, PFxOl4ll-2793 where ^ 1
rimati on state
i elms mutt merry 87690.}762b Fax EL,hwreapgperrnMs [`tiJ, f:K---u1 [1,6/l . (�
animation on ttm uanea. COMMERCIAL "`
Application for Bulldina and Trades Permit py\ .r- p ; 112
owners Name: Esrrryaifclf Un;tets;4y Date: 9 -ao-l7 �}�•
Site Address: f1 Phone: 'lb-813 -L6t0
Directions to Job site from Ullington:
Subdivision:
Lot:
Descrlplion of Proposed Work:
Heated SF Unheated SF
Dermal Contractor Inforenatlonf Building Cost$ 4Q0froo9
£.etiesar. Gary of- idols Creek;ALC 910-84!- 91146
Building Contractors Company Name Telephone
0 I3or 4000 ( (attic IJc aT.S05 be+fs
Address roSi-Nc.toM
�— Email Address
ed6 49
Sign: ore of Owner/Contractor/Officer(s)of Corporation License#
Deacnpdot of Work
flestrical Contractor Information;
pi Electrical Cost$_ i,pool
Service Size: Amps #T-Poles_
Ye y fI 'ievkt r 114- 639- an?
Electrical Contractors Company Name Telephone
liB liar 31`r ?79i
Address r Email
[tenetess
J A`d�yeunjTGJrcirK, !oM
Signature of Owner/Con or/Ofg nWD u
cer(s)of Corporation Licensee
Sanical Contractor Information;Mechanical Cost$ I'S sr nv-Y)
lch
Dandelion of Work YOun.s -61ectt,L .Ter #Units
Po $0.c A - f. c `a75O( 1ly-4 - aa47
Mechan�or Com y Name
Telephone
Address len vel (0o„„js etec�+c �rt
Email Address I
Signature of Owner/Contractor/Office s of Corporationy�a 9
rt ) rmato License a
plumbing Contractor Information:Plumbing Cost$. �' poo
Description of Work - #Baths
Yo its Fkc r;c .rw 919- eft l- J)t7
Plumbing'Co tractors Company Name
9398 d QDK Telephone
Alf,<rr NC- also( k °I Q y~de(e4-(G nen
Address. i / Email Address L
Signature�reofrOwner/Con 44 i i
cer(s)of Corporation License#
IDi.Ssion Contractor Into .tion
Insulation Contractors Company Name&Address
Telephone
*NOTE:General Contractor must MI out and elan the second page of this application
c.Vn'nu+ini Eu r4ng tp1iii am.
u
aria
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 17-50040725 Date 5/12/17
Property Address BURT ST
PARCEL NUMBER . 11-0670- - -0200- - -
Application description . . CP NEW SCHOOLS & EDUCATIONAL
Subdivision Name HARTWELL CAMPBELL PROPERTY
Property Zoning RES/AGRI DIST - RA-30
Permit COMMERCIAL MECHANICAL PERMIT
Additional desc .
Phone Access Code 1191204
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
999 451 M451 C*GAS PIPING / /
999 455 M455 C*MECH CHILLER PIPING / /
999 457 M457 C*MECH DUCT / /
999 465 M465 C*MECH FINAL / /
999 463 M463 C*MECH OVERHEAD / /
999 459 M459 C*MECH ROUGH IN / /
999 453 M453 C*MECHANICAL UNDERGROUND / /
999 461 M461 C*REFRIGERATION INSPECTION / /
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 17-50040725 Date 5/12/17
Property Address BURT ST
PARCEL NUMBER 11-0670- - -0200- - -
Application type description CP NEW SCHOOLS & EDUCATIONAL
Subdivision Name HARTWELL CAMPBELL PROPERTY
Property Zoning RES/AGRI DIST - RA-30
Owner Contractor
CAMPBELL UNIVERSITY ENGINEER SOUTHEASTERN CONSTRUCTION OF
PO BOX 97 BUIES CREEK, LLC
BUIES CREEK NC 27506 PO BOX 4200
(910) 893-1610 BUIES CREEK NC 27506
(910) 893-8486
Applicant
SEC, LLC ENGINEERING SCHOOL
PO BOX 4200
BUIES CREEK NC 27506
(910) 893-8486
--- Structure Information 000 000 SCHOOL OF ENGINEERING
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE SCHOOL OF ENGIN
SEPTIC - EXISTING? SEWER
Permit COMMERCIAL MECHANICAL PERMIT
Additional desc .
Phone Access Code 1191204
Issue Date . . . 5/12/17 Valuation . . . . 135000
Expiration Date . 5/12/18
Special Notes and Comments
T/S : 02/09/2017 12 : 24 PM DJOHNSON - -
PROPERTY DIRECTLY BEHIND THE PHARMACY
BUILDING ON BURT ST.