DOCUMENTS SI;)) 1/) Application# i'15c J 4) Y
Harnett County Central Permitting
PO Box 65 Lillington, NC 27546 - Ph:910-893-7525 - Fx:910-8932793 - www.harnettorglpermits
Certification of Work Performed By Owner/Contractor
/ (Individual Trade Application)
Owner(s)of Structure: Lip.4/E! Vim L an'e n Phone: 9/9 1x'9'9x3
Owner(s)Mailing Address: 4/72 Ade,/ 511-
c r ice,.:,g- -C 7.
Land Owner Name(s): Phone:
Construction or Site Address:` 4177 /key See
,ce
PIN# OS ( Li ' -k �� Q Parcel# ( � 1 ^ '3(%
Job Cost:/4060 Description of Work to be done /2/P--byke 4* eici:r .Z) s(Fed•e
'Gray
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 .2 Water Heater
S.ecific Directions to Job from Lillinoton:
0 tJ (c 4 an C. r 'An L.I •— LP/- s.. A A'4,7 cc.
Subdivision: Lot#:
will provide the labor on this structure.
(Contractors Name) (Trade)
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.
Contractor's Company Name Telephone
Address Email Address
License#
Structure Owner/Contractor Signature: �r�� Date: C1/4//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, 8 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 17-50041299 Date 5/03/17
Intersection
Property Address 91749 TECH 2
PARCEL NUMBER - - - - - - -
Application type description CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning UNZONED
Owner Contractor
VUNCANNON GEORGIA ANN OWNER
VUNCANNON DANIEL C
477 AVERY SPENCE RD
LILLINGTON NC 27546
(919) 868-4923
Applicant
VUNCANNON GEORGIA ANN
VUNCANNON DANIEL C
477 AVERY SPENCE RD
FUQUAY-VARINA NC 27526
(919) 868-4923
--- Structure Information 000 000 PLUMBING EXT DET GARAGE
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE PLUM
WATER SUPPLY NA
Permit RESIDENTIAL PLUMBING PERMIT
Additional desc .
Phone Access Code 1189711
Issue Date . . . 5/03/17 Valuation . . . . 0
Expiration Date . 5/03/18
Special Notes and Comments
T/S : 05/03/2017 01: 52 PM JBROCK ----
477 AVERY SPENCE 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 17-50041299 Date 5/03/17
Property Address 91749 TECH 2
PARCEL NUMBER - - - - - - -
Application description . . CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning UNZONED
Permit RESIDENTIAL PLUMBING PERMIT
Additional desc
Phone Access Code 1189711
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
999 305 M305 R*PLUMB SEWER CONNECTION / /
999 307 P307 R*PLUMB WATER CONNECTION / /
999 309 P309 R*PLUMB UNDER SLAB
999 131 R131 ONE TRADE FINAL / /
999 125 R125 ONE TRADE ROUGH IN / /
999 315 P315 R*PLUMB HW HEATER / /