BUILDING 1 Each section below to be filed out by
or licensed sed sed contr e ct or. work.
Add Must be owowner /� /j "� / —C<--
or trerl contractor. company Applicatio # `
rxm e & phone match information on Harnett County Centra Perm
license. PO Box 65 Langton. NC 27546
910.893 -7525 Fax 910 -893 -2793 xnvw.hametL
A Iication fo aside u t an T
Owner's. Name: r Date: 11 - / - / o
Site Address:__(. ,Sp P or e s ( / Lvv. Phone: (?n) 715- 39422
Directions to job site from Lilli gton: /TaO A/ Creek Clitla — Mike p
c-0W.tiiruc :O,J cede-twee oft Mowry £ J eP� p oI✓ ^ ar:Y -3 Am(
Le Ai Ms. 7 - .) ereao .J Scctla : Lci'f ow 0e Pond Lev; Subdivision: Raatrlar Creek Club L ot 1 105
Description of Proposed Work: Mew Coil fed c.f'ont #Bedrooms: 3
Heated SF&D (p / Unheated SF / a 1 Finished Rec Room? /V o Crawl Space ( ) Slab
/�_ I General Co r Iri[gnnedon
! `4v.i as i .Times , +r• C9r9) 9YS-39ao
Building Contractor's Company Name 6 Telephone
M0'7 & &S the. fah 4 Ne 0716o 7 4562Q
License #
' Must sign & fill out second page
Signature er/Contractor/Officer(s) of Corporation
Wectrical Permit information
Description of Work /View roe Service Size: a O a Amps TPole• e�no
Cary fil friP ride- 9i' 449 - /4 S3 •
Eleceiraltons Company Name Telephone
r to. 773 Car, v'.�_ ansia /o3S3 -L
eo/ . A G license #
Signature of Officer(s) of Coration
AtechanicaUHVAC Permit information
Description of Wo& We& Cojg3s. ;ads /
Meehan! I s Name Telephone
add33 ¥3 Sheeks rhfisa tjo L t' /8 .4 Spa
License #
Signature of Officer(s) of orporado -` n n �
Plumaina Permit Irdormafion
Description of Work get.) Cereectart awl # Baths 02
n putorta Co' .trI2aeaawts, slut cf to- g2C9 -5
Plumbing Contractors Company Name Telephone
Iota' d t Witty 242. ray . at- an s (flV.. = P/
License #
i s) of Corporation
iintaffai Insulation Permit Information
Itha J/ At. , P/9 -64 / -0719 '
Insulation C s mpAfiy Name & Address Telephone
S i t old D, ; sra
At- ' a5,?q
8/21/08
Reno mom eie following H then a Applying Build Their Own Home Pam* tido.
�(� (�O Booed* per 0 8. 87 -14 Regulations as to issu of Building � under Owners u upt
1. Co you own the land on which this building will be constructed? � s request)
tructed? yes no
2 . Have you hired or intend to hire an individual to superintend and manage construction of the
project?
yes _ na
3. Do you intend to directly control & supervise construction activities? yes no
4. Do you intend to schedule, contract, or directly pay for all phases of construction work to be
done?
yes no
5. Do you Intend to personally occupy the building for at least 12 consecutive months following
completion of constnn:jon and do you understand that if you do not do so, it creates the
presumption under law that you fraudulent* secured the permit?
_ yea _ no
I hereby — • that I have the authority to make necesswy and Mir construction will oo to tt that b r correct
contactors Is awed es he Hamel
m to if m in ate an nh above
number of bedrooms, building and trade plmce sass P uce
changes,) certify t is my responsibility b notify the Harnett Counter Cabal Proposed use
any and aft thongs,.
is � ES PERMIT FE - 8 Months l0 2 yarn pemdt re -Issue fee Is $150.00. AA terr2 w
2 years rs4se fee
Per current fee schedule.
Signature M71er/t„ r b'8�er/Q ,) p/ l / -
t� —
Affidavit for Worker's Compensation N.C.0.8. 87
The being
General Contractor Owner Officer/Agent of the Contractor or Owner
set for Si the penalties of perjury that titre person(s), firm(s) or copora n(e) the work
His three (3) or more employees and has obtained makers' compensation insurance to cover them.
Has s ens (1) or mare sukordrectors(s) and has obtained workers' compensation insurance to cover
covering themselves.
more subcontractors(s) w has !heir own potty of workers' compensation insurance
Has rho more than two (2) employees and no subcorhtredora
Whip t working on e project for which this pemdt is sought it is understood that the Central Permitting
to issuance of permit and et � require during penal coverage work h worker's i
carrying out the work. any person firm or corporalip
Company or lame: -r_ /
Sign warns: • li ►
8/21/08
J
Skala
Plan Box Number 19 g Job Name r) a -n. Catiso
Date: (I- ` � - (a
Required Inspections for SFA/SFD
Appl. # , 0 520 2 Ss$f
Valuatior{W j q PS
Sq. Feet 3 0 5.6
Sequence
10 ✓ R* Bldg. Footing
10 -30 R* Elec. Temp Service Pole
20 ✓ R* Building Foundation
20 Address Confirmation
30 -999 Open Floor
30 -999 ✓ R* Bldg. Slab Insp.
30 -999 R* Elec. Under Slab
30 -999 ✓ R *Plumb. Under Slab
40 ✓ Four Trade Rough In
40 Four Trade Rough In> 2500
40 Three Trade Rough In
40 Three Trade Rough In> 2500
40 Two Trade Rough In
40 Two Trade Rough In> 2500
40 One Trade Rough In
40 One Trade Rough In > 2500
50 ✓ R* Insulation
60 ✓ Four Trade Final
60 Four Trade Final > 2500
60 Three Trade Final
60 Three Trade Final > 2500
60 Two Trade Final
60 Two Trade Final > 2500
60 One Trade Final
60 One Trade Final > 2500
999 Envir. Operations Permit