DOCUMENTS Application# `TVS.I I
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
(Individual Trade Application)
Owner(s)of Structure: 47. •nn14(- t-1 ods. Oa • J, Phone: 91o ._ �,fC Van
Owner(s)Mailing Address: 3L Lr..) J 4-m( PD. ._.-
Land Owner Name(s): Sn•.. Phone:
Construction or Site Address:
PIN# Parcel#
Job Cost: Description of Work to be done 9e_nLr+T vi
Mechanical: New Unit With Ductwork_ New Unit WithoutDuctwork_ 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:
,a,( 10 41lo` Ly/.<_• IA-A t ' .)y
(o-rel,r t 1c...s T I/-1.♦ qe 11.•,..., •a.( yn!<. Le be Hu,.,, oK' Y.: ,(
barn 0-11-1 e to IS" RJ Lk. 14h0-0,rt>I, CroJn 2'1 k.4-on o
Gy,L,4 K L,,4 l4w,w t $N 4-
Subdivision:
Subdivision: ( n,.) :nn L-a I Lot#:
will provide the labor on this structure.
(Contractors Name) (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.
Contractors Company Name Telephone
Address Email Address
License# /
Structure Owner/Contractor Signature: 11�,�1' ,,d7 Date: c-/-14}
By signing this application you affirm that you have obtained permission from the above listed license holder to
purchase permits on their behalf. If doing the work as 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
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 17-50040811 Date 4/18/17
Property Address 36 CRYSTAL PT
PARCEL NUMBER 03-9585-03- -0073- - -
Application type description CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name CAROLINA LAKES
Property Zoning PENDING
Owner Contractor
ADAMS RONALD HOPE JR & JUDY B C & C ELECTRIC OF FAYETTEVILLE
RT 6 BOX 1131 2616 HORNER DR
36 CRYSTAL POINT FAYETTEVILLE NC 28306
SANFORD NC 27330 (910) 425-2168
Applicant
C & C ELECTRIC OF FAY
2616 HORNER DR
FAYETTEVILLE NC 28306
(910) 670-0654
--- Structure Information 000 000 WIRE GENERATOR FOR THE HOME
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE ELE
WATER SUPPLY NA
Permit RESIDENTIAL MECHANICAL PERMIT
Additional desc .
Phone Access Code 1187582
Issue Date . 4/18/17 Valuation . . . 0
Expiration Date . 4/18/18
Special Notes and Comments
T/S: 02/23/2017 04 : 03 PM JBROCK ----
36 CRYSTAL DR - CAROLINA LAKES
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 17-50040811 Date 4/18/17
Property Address 36 CRYSTAL PT
PARCEL NUMBER 03-9585-03- -0073- - -
Application description . . CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name CAROLINA LAKES
Property Zoning PENDING
Permit RESIDENTIAL MECHANICAL PERMIT
Additional desc .
Phone Access Code 1187582
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
999 409 M409 R*GAS PIPING —/ /-
999 407 M407 R*MECH ABOVE CEILING _/ /
999 405 M405 R*MECHANICAL UNDERGROUND —/ /
999 131 R131 ONE TRADE FINAL —/—/—
999 125 R125 ONE TRADE ROUGH IN _/ /