DOCUMENTS Lk13 I 10/ Application# 19 sec3L4 I by a
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: ://+4+Nc z p . ✓,z Phone: )/ 7 -r 5-51 v3 %S
Owner(s)Mailing Address: dot.C G'Ad✓P eh . .
Land Owner Name(s): Phone:
Construction or Site Address:
PIN # Parcel# p
Job Cost: .5-#741P, "'Description of Work to be done)os.v'lY Frn�F'� .o.,/� 4°N 0,,U7o2 614-4'
Mechanical: New Unit With Ductwork New Unit Without Ductwork_ Gas Piping Other
Electrical*: 200 Amp 4200 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 Direc ion to Jo from illin ton:
Subdivision: // (/� Lot#:
I l✓ v �' will provide the t2 %'x%A ( labor on this structure.
(Contractors Name) (Trade)
I am the building owner or my NC state license number is /200 7'K ,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,,ordinancesdand regulations.
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Contractor's Company Name Telephone
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Address Email Address
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License#
Structure Owner/Contractor Signature: Date: 7 ✓ —02-a/7
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 17-50041082 Date 4/03/17
Intersection
Property Address 40 LOVE GROVE CHURCH RD
PARCEL NUMBER 03-9578- - -0086- - -
Application type description CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning PENDING
Owner Contractor
SPIVEY WAYNE & FRANCES W WESTER & PACE ELECTRIC INC
40 LOVE GROVE CH. RD 546 LESLIE ROAD
SANFORD NC 27330 SANFORD NC 27330
(919) 499-4396 (919) 499-5389
Applicant
SPIVEY WAYNE
40 LOVE GROVE CHURCH ROAD
SANFORD, NC 27332-0000
SANFORD NC 27332
--- Structure Information 000 000 SERVICE CHANGE & HOUSE GENERATOR
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE ELE & GAS PIPIN
WATER SUPPLY NA
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1185370
Issue Date . 4/03/17 Valuation . . . . 0
Expiration Date . 4/03/18
Special Notes and Comments
T/S : 04/03/2017 10 : 34 AM JBROCK ----
MCDOUGALD RD TO LOVE GROVE CHURCH 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 17-50041082 Date 4/03/17
Property Address 40 LOVE GROVE CHURCH RD
PARCEL NUMBER 03-9578- - -0086- - -
Application description . . CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning PENDING
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1185370
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 —/ /
Application# 4 I U
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: cef S�'iu a Phone:
Owner(s) Mailing Address: O I wC Ei•r+
Land Owner Name(s): Phone:
Construction or Site Address:
PIN# Parcel# f
Job Cost: Description of Work to be done F'e( I'c pc Fg 4, gCe rx-61'
Mechanical: New Unit With Ductwork_ New Unit Without Ductwork_ Gas Piping Si/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:
Subdivision: Lot#:
An>fe`d .qe r" will provide the U4I ? labor on this structure.
(Contractors Name) (Tradel
I am the building owner or my NC state license number is 24 5O 9 , 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.
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Contractor's Company Name Telephone
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Address Email Address
21
License#
Structure Owner/Contractor Signature: Date: LI— S'
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, 8 phone must match Information on license