The URL can be used to link to this page

BUILDING `titl4r Maul eta @061100 Out to '— - . �.. _. ____— _.___._... asywarstratformeria. Mows et at or1100ntid mkt. AdiMep, 2010 - 50024391 morn a Ohatn AuisAYldA trdaanutfee an Hemet Canine Panrde$ng relate Su efil kHans POtieauI� iagssOB iw.w.romacesossates Agegaitaletesdkinallungsgasz Ote tan, AO Contracting Inc. - Dew 11-8-10 See Adld reas•,fj0 Sandy TinaenCourt Phone 919- 656 -6900 Vireo ons 10 10h idle stem t.WeIQn_ fit 27 West to Left on Tingen Rd. to Left on Tower Drive (Tingen Mace) right on Sandy Tingen Ct. Lot 70 on the right. SUhdalsiox Tingen Place et 70 Dasctlption of Proposed vent: New Single Family Residential Heated SF 1741 Utthesbed EF 659 Fintehed Roe Roca? yes Came &pose pi Stab t i pans j Conlraetat IfIlfstalaire AQ Contracting inc. 919- 542 -9893 bul*ig Colt mcSf's Compaq Nainp Talephoos PO Box 1508, Pittsboro, NC 27312 47496 Ades;' // license tit + -�' /%!mac /, . �r '... r. Mustaign& 7i ad sso6nd seas - d Corporme r CeaC isIan '('Wong Electrical Wiring S @r111R6 WZe ao Urt ir tat Amps wow ¥E5 Maida Electric, LLC 910- 897 -6216 EtesIrical Codtedafs Otanpanw Name Telephone 34 Eagle Road, Coats, NC 27521 23491 L license 0 SIgneAtus of pat Cegpnrodon IfeStatrea O@BCttplion of Work New Single Family Residential ARS / Rescue Rooter 919 -828 -5147 Meehw Contiactars Company Name Tstsphene 517 Pylor Drive, Raleigh, NC 27606 16245 Stratum of sy W Corp attaliaiLiategyeelign Olaclltllonot Worn PIumbing Per Code F e arns 2.0 Hare's Plumbing Inc. 919 - 774 -2482 Prvfibilg Canfractots Company Menlo Telephone 412 Swaringen Lane, Sanford, NC 27330 19443 Licensed • Of s of Corpondion tIVARgyatemaJapeMen Tri City Building Insulation &Building Products 910 -486 -8855 hfsulelfoft Contractors Company Name &Add esa S Homeowners Applying to Build Their Own Home Please answer the following questions then see a Permit Technician to determine if you qualify for permit under Owners Exemption. Questionnaire per G.S. 87 -14 Regulations as to Issue of Building Permits (Memo available upon request) 1. Do you own the land on which this building will be constructed? X yes _ no 2. Have you hired or intend to hire an individual to superintend and manage construction of the project? yes X no 3. Do you intend to directly control & supervise construction activities? X yes _ no 4. Do you intend to schedule, contract, or directly pay for all phases of construction work to be done? X yes _ no 5. Do you intend to personally occupy the building for at least 12 consecutive months following completion of construction and do you understand that if you do not do so, it creates the presumption under law that you fraudulently secured the permit? X 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 any 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 ch. •.es. EXPIRE 0 • ' IT FEES - 6 Months to 2 years permit re -issue fee is $150.00. After 2 years re -issue fee is as' en -. e. r i `i` �� Ill 11 -8 -2010 S :nature of Owner /Con actor /•'of Corporatio Date Affidavit for Worker's Compensation N.C.G.S. 87 - 14 The undersigned applicant being the: X X General Contractor Owner Officer /Agent of the Contractor or Owner Do hereby confirm under penalties of perjury that the person(s), f rm(s) or corporation(s) performing the work set forth in the permit: X Has three (3) or more employees and has obtained workers' compensation insurance to cover them. X Has one (1) or more subcontractors(s) and has obtained workers' compensation insurance to cover them. X 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 worker's 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. • - . tracting Inc Company or Nam. • ' � Sign w/Title �r �i /,r Date: 11 -8 -2010 8/21/08