DOCUMENTS 09/09/11 Application It
S I f- j 2 Harnett County Central Permitting 1 .JIJIJ !I �7 b"
Each section below to 6ee filled out PO Box 65 lmplon NC 27548
W whomever performing tog work 910 893 7525 Fax 910 893 2793 www harm ow/permits
Must be owner or licensed
contractor Address company Application for Residential Building and Trades Permit
name&phone must match
Owners Name �7L ktit4. C(Z3 Date y
Site Address Sok 1-oacEsa'��i4e. . CA Maud, ttPhone 'lie 2a-4z(s4t
Directions to job site from Lillington
Subdivision Lot
Description of Proposed Work P1.1)0kp #of Bedrooms 3
Heated SF Unheated SF Finished Bonus Room9 Crawl Space _Slab
General Contractor Information
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Building Contractor s Compan Name, Telephone
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Address Email Address
License#
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Description of Worala.4511k4l Service Size _Amps ••le _Yes
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Electrical Contractor Cotr
s Compan . =me Telephone
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} '3i* Email Address
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mechanical/HVAC Contractor Information
Description of Work > v-�t/ Lit -
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Mechanical Contractor s Company Name Telephone
/334 f 311) Sot 42,49-.f L tte AJt izeam sfratse4c. Co...�
Address
69 b Email Address
License U
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Description of Work Wr LN- VL4.444U 'Ivan - #Baths
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Mu • 'ing Contractors Company r e Telephone
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Address; )404-cisEmailAddress
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License#
/ f�-.+l j iSU( unDulebon Contractor Information C�f 0- CAS' g95:3IInsulatiion Contractors Company Name 8 Address Telephone
`NOTE General Contractor must fill out and sign the second page of this application
I hereby certify that I have the authonty to make necessary application that the application is icorrect
and that-the construction will conform to the regulations in the Building Electrical Plumbing and
Mechanical codes and the Hamett County Zoning Ordinance I state the information on the above
contractors Is correct as known to me and that pv stantna below I have obtained all subcontractors
permission to obtain these osrmrte and if my 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 changes
1-. PERMIT FEES onths to 2 years permit re-issue fee is$150 00 After 2 years re-Issue fee
per CORen ' • Sch -
Signature • I :r/CO =ctor/Officer( )of Corporation Date
Affidavit for Worker's Compensation N C G S 87-14
The undersign-• applicant being the
General Contractor _Owner /Officer/Agent of the Contractor or Owner
Do hereby confirm under penalties of perjury that the person(s) firm(s)or corporation(s)performing the work
set forth in a permit
hree(3)or more employees and has obtained workers compensation Insurance to cover them
_Has o 1)or more subcontractors(s)and has obtained workers compensation insurance to cover
them
I Has one(1)or more subcontractors(s)who has their own policy of workers compensation insurance
covenng 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 workers compensation insurance prior
to issuance of the permit and at any time dunng the permitted work from any person firm or corporation
carrying out the work ^,I-
Compan
Sign winds
tar, "6 // Date T�f a-`/9'
Sign wRnle „((((/���✓L 1246/0(114441/1‘.
I
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 17-50041407 Date 5/17/17
Property Address 588 LAKERIDGE DR
PARCEL NUMBER 09-9566-01- -0001- -45-
Application type description CP ADD & ALTER RESIDENTIAL
Subdivision Name
Property Zoning PENDING
Owner Contractor
RIVERS DIRIKI R SHOWCASE RESTORATION NC INC
588 LAKERIDGE DRIVE PO BOX 11056
CAMERON NC 28326 FAYETTEVILLE NC 28303
(910) 864-0900
Applicant
SHOWCASE RESTORATION
5500 YADKIN RD
FAYETTEVILLE NC 28303
(910) 864-0911
--- Structure Information 000 000 FLOOD RENOVATION
Flood Zone FLOOD ZONE X
Other struct info SEPTIC - EXISTING? NA
WATER SUPPLY COUNTY
Permit RESIDENTIAL BUILDING PERMIT
Additional desc .
Phone Access Code 1191782
Issue Date . 5/17/17 Valuation . . . . 0
Expiration Date . 5/17/18
Permit RESIDENTIAL INSULATION PERMIT
Additional desc .
Phone Access Code 1191790
Issue Date . 5/17/17 Valuation . . . . 0
Expiration Date . 5/17/18
Permit RESIDENTIAL MECHANICAL PERMIT
Additional desc .
Phone Access Code 1191816
Issue Date . . 5/17/17 Valuation . . . . 0
Expiration Date . 5/17/18
Special Notes and Comments
T/S: 05/17/2017 02 :22 PM JBROCK ----
588 LAKERIDGE DR
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 17-50041407 Date 5/17/17
Property Address 588 LAKERIDGE DR
PARCEL NUMBER 09-9566-01- -0001- -45-
Application description . . CP ADD & ALTER RESIDENTIAL
Subdivision Name
Property Zoning PENDING
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
Permit type . . . . RESIDENTIAL BUILDING PERMIT
999 429 R429 FOUR TRADE FINAL / /_
999 425 R425 FOUR TRADE ROUGH IN / /_
999 131 R131 ONE TRADE FINAL / /_
999 125 R125 ONE TRADE ROUGH IN / /
999 329 R329 THREE TRADE FINAL / /_
999 325 R325 THREE TRADE ROUGH IN _/ /
999 229 R229 TWO TRADE FINAL / /_
999 225 R225 TWO TRADE ROUGH IN _/_/_
Permit type . . . . RESIDENTIAL INSULATION PERMIT
999 129 1129 R*INSULATION INSPECTION / /_