DOCUMENTS Application#
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: Phone:
Owner(s)Mailing Address:
Land Owner Name(5):
Phone:
Construction or Site Address:
PIN# Parcel#
Job Cost: Description of Work to be done
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:
op II.
Subdivision: Lot#:
•
I will provide the labor on this structure.
(Contractors Name) (Trade) '111111‘1„,
ci
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.
11c Eitel-rice( 919 - 5-63 -_57sG
Contractor's CompanyCrNName Telephone
970o W ' Illny Pc fhebn, At 2-3oz LEC elec_4r ic9( @ t/GM
hoo,CO
Address Email Address
O(o92oU
License# l/ '7� 7
Structure Owner/Contractor Signature:17X (7/ Date: I r I
By
ng
s
ication you
rm t
y
u have obtained
purchase permits oln their behalf. If do to
ng thoe work as owner you understssion and that you caom the above nntotdrent lease orcense dsell
the listed properly 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 17-50040961 Date 4/03/17
Intersection
Property Address 697 COKESBURY PARK LN
PARCEL NUMBER 05-0635- - -0124- -21-
Application type description CP NEW RESIDENTIAL (SFD)
Subdivision Name COKESBURY PARK
Property Zoning RES/AGRI DIST - RA-20M
Owner Contractor
JLS HOMES LLC JLS HOMES, LLC
PO BOX 725 1240 OPEN FIELD DR.
HOLLY SPRINGS NC 27540 GARNER, NC 27529
GARNER NC 27529
(919) 422-7306
Applicant
JLS HOMES # 59
PO BOX 725 HOLLY SPRINGS, NC
27540
HOLLY SPRINGS NC 27540
(919) 291-0198
--- Structure Information 000 000 50X55 3BDR CRAWL W/ GARAGE & DECK
Flood Zone FLOOD ZONE X
Other struct info # BEDROOMS 3000000 . 00
PROPOSED USE SFD
SEPTIC - EXISTING? NEW TANK
WATER SUPPLY COUTNY
Permit BLDG,MECH, ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1183656
Issue Date 4/03/17 Valuation 0
Expiration Date . . 4/03/18
Special Notes and Comments
T/S: 03/17/2017 01 : 17 PM JBROCK ----
COKESBURY PARK #59
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
PERMIT INCLUDES BLDG, ELEC,MECH, PLUMB
INSULATION AND LAND USE.
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Work must conform and comply with the
STATE BUILDING CODE and all other State
and local laws, ordinances & regulations
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 Page 2
17-50040961 Date 4/03/17
Property Address 697 COKESBURY PARK LN
PARCEL NUMBER 05-0635- - -0124- -21-
Application description . . CP NEW RESIDENTIAL (SFD)
Subdivision Name COKESBURY PARK
Property Zoning RES/AGRI DIST - RA-20M
Permit BLDG,MECH, ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1183656
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
10 101 8101 R*BLDG FOOTING / TEMP SVC POLE / /
20 103 B103 R*BLDG FOUND & TEMP SVC POLE —/ /
20-30 814 A814 ADDRESS CONFIRMATION
30-999 105 B105 R*OPEN FLOOR —/ /—
40-50 129 1129 R*INSULATION INSPECTION —/—/—
40-60 425 R425 FOUR TRADE ROUGH IN —/ /—
40-60 125 R125 ONE TRADE ROUGH IN —/ /—
40-60 325 R325 THREE TRADE ROUGH IN —/ /—
40-60 225 R225 TWO TRADE ROUGH IN —/ /—
50-60 429 R429 FOUR TRADE FINAL —/ /—
50-60 131 R131 ONE TRADE FINAL —/ /—
50-60 329 R329 THREE TRADE FINAL —/ /—
50-60 229 R229 TWO TRADE FINAL —/—/—
50-60 209 E209 R*ELEC TEMP POWER CERT —/ /—
999 H824 ENVIR. OPERATIONS PERMIT —/ /—