BUILDING • Each sew below to be Sled out by
whomever performing work. Must be owner / p�
or licensed contractor. Address, eomr ary _ A # !'✓ ✓�✓O Z 5- 2.- name 8 phone must m eth information on Harnett County Ce ntral Permi
license. P0 Box 65 LOBnghm. NC 27548
910 -893 -7525 Fax 9111 -893 -2783 wwW.h nett.mgfpemub
_ "" II 'o yo said ) i Trades
Owner's Name: ItJY8f1'r Z =Q Date: It -o?G -/ o
Site Address:_9_=? Sal P /2r./ 4A! Phone: C 9 /Y) 775 -39,72
Directions to job site from Lill S
on: 19a�+ore,A/ Crest CArb __ 74k:
j eCI / - -7fo ri 7i ere ck . UA di.' $p.--.'n tool tot 1/rjo,a4 "' el •v £, 4#
Subdivision: 4osh na,► &eel Club J Lot 701
Description of Proposed Work: Ne..i eon, /Cat b .✓ #Bedrooms: 3
Heated SF 628910 Unheated SF 1 Finished Rec Room? c . Crawl Space A6 Slab",
General Co c o 1 !�
167diraV alt/ Tens A' , ta r / MB C9n)114.5_ nag
Building Contractor's Company Name / f Telephone
/c�07 &an/ Jt. ecice r�, NC 21 4 o 7 tossaa
Address ✓ 7 License #
i Must sign 8 fill out second page
Signature 6 ti tt t ractodOfficer(s) of Corporation
glectrical Permit Information
Description of Work Nitro ant. Service Size: a O e Amps TPole' e9no
Cary S leeir4P X- ir e_ 7i -GC9 - /4f 5'3 .
Electrical s Company Name Telephone
A �� 4 n2 Cs.ypvit._ ansta /oin -L
�✓ ,_ / • License #
^at • oz. �..r
Signature of Officer(s) of Corporation
ABachanicalHVAC Permit Information
Description of Work Ale& evi5eb -tit %4•/
M:.: ,..:1 , :.. s ' Name
Telephone
3'#) Sh ;pa zh dr. Upriver gyp 273 /B b 4
Address License #
Signature of /JfFicer(s) of tion
Plumbinu Pernik Information
Description of Work P1El3 Ceoay real er4 # Baths
a% littirbegar Coeir4emar, ,sic 910- 8241 -3-2- ?2-
Plumbing Contractor's Company Name Telephone
Me Hoc ttitYd zn. r . ac. 41,3 af /.7941..r-Pi
Address
License #
e rator
hate
nag/ Insulatlon Pernik Information
llue a ,,r 14e. , f/9 -!6/ -0999
Insulation Co ntracto s Compeny Name & Address Telephone
5 4 Oa Dny Shwa ei
Canter Aft . 475.21
8/211()8
Please mover Me Homeowners Applying to Build Their Own Home
win 8 n " Pam, TechrtI ontoMannino syuu tor p t&mm„awersExemption.
Questionnaire per 0.3.
Regulations as to Issue of Building Penncbs (Memo avast* upon request)
1. Do you own the land on which this building will be constructed?
.,. Yee no
2. Have you hired or intend to hire an Individual to superintend and manage constructer of the
project?
yea _ no
3. Do you intend to directly control 8 supervise construction acttiigea? 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
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?
-- yes no
I hereby .:. , that 1 have the authority b make
and that to consbrrabur nip conform to to , t1° application correct
contractors M correct s, a the Hau known nett County 1 r the P it the above
on
number of b me and W2, occur Including listed �nad contractors, the above
a of certify is my responsibility trade � 1 pert than proposed use
to county Central Peymlybhg p of
EXPIRED PERMIT FEED - 8 Months to 2 years pert reissue fee 1s 1150.00. After 2 years reissue fee
is as per parent pee schedule.
Affidavit for
The un�ig The Compensation p- C,p,B. 87-14
—L_ General Contractor Owner
Do hemby confirm
Officer/Aged of the Contractor or Owner
set 1 In un pens of perjury that the person(s), cur(.) or corporation(s) performing the worn
Has three (3) or more employees and has obtained meat flan woe to cover them.
them. one (1) or more subcontractors(s) and has
obtained workers' Insurance dance b cover
covering themselves. more fie) who has their own policy ayyprkgre. compensation Insurance
Has no more than two (2) empbyees and no subcatractora
•
Department White working on the project few certificates t is understood that to Central Permtmtg
to ssuuaanc the spa aft at any time during to permitted work f or c prior orporation
Company or Name: +r_ / . , .
Sign wattle: it .
Iles *,., gate;_ II -eV -10` u
8/21/08
J
Plan Box Number C " 3 Job Name,th -uISg
Date: l (*plc) - ID
Required Inspections for SFA/SFD S�
Appl. # /D S niSlvr
Valuation Sat 779
Sq. Feet j_Sta
Sequence
10 v 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
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