DOCUMENTS 09/09111 Application#
Harnett County Central Permitting ScOL; ILj 1.1 ov
PO Box e5 on NC 27518
Each section below to ba hlMd out 910 883 7525 Fax 910 88393 27 2783 wave hamett erg/pennies
by whomever perbnmrp work
Must be owner or licensed
contractor Addms cemetery Application for Residential Budding and Trades Penni(
name 6 phone must meld)
Owners Name (thzli/A&Lkto Sliarcit Date ,S/,,'7
Sae Address 0 ( iVhiTe 7fP rti). Phone
Directions to lob site from Lilling n
%/ i'o l' yb e ,Qc! A) (4-0-
Subdivision Lot
Descnption of Proposed Work #of Bedrooms
Heated SF_Unheated SF Finished Bonus Room' Crawl Space _Slab
General Contractor Information
Building Contractors Company Name Telephone
Address Email Address
License#
Electrical Contractor Information
Description of Work Service Size _Amps T-Pole _Yes No
Electrical Contractors Company Name Telephone
Add ass Email Address
u
License#
Machamce 'HVAC Contractor Information iz
Description of Work (A4AjZl-F (Jur .'S. S .44.4,11 42
tid/r� r F./seineC/t+i'—G 3S-2297
M hanical o tractors Company Name Telephone
/PO t k/ OS''a Ma Z✓a N 4- et-Ae Jrim'Ai✓Svledic.ca
96269
License# plumbintontractor Information
Description of Work #Baths
Plumbing Contractor s Company Name Telephone
Address Email Address
License#
Jnsulation Contractor Information
Insulation Contractors Company Name&Address Telephone
*NOTE General Contactor must fill out and sign the second page of this application
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 17-50041448 Date 5/22/17
Property Address 284 CHALYBEATE RD
PARCEL NUMBER 08-0653- - -9000- - -
Application type description CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name CHALYBEATE SPRINGS BAPTIST
Property Zoning RES/AGRI DIST - RA-40
Owner Contractor
CHALYBEATE SPRINGS BAPTIST YOUNGS ELECTRIC INC
CHURCH PO BOX 398
238 CHALYBEATE RD FUQUAY ANGIER NC 27501
FUQUAY-VARINA NC 27526 (919) 639-2297
Applicant
YOUNGS ELECTRIC
PO BOX 10590
ANGIER NC 27501
(919) 639-2297
--- Structure Information 000 000 CHANGE OUT 3 . 5 TON HP W/ DUCTWORK
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE MECH / ELE
WATER SUPPLY NA
Permit RESIDENTIAL MECHANICAL PERMIT
Additional desc .
Phone Access Code 1192608
Issue Date . . . 5/22/17 Valuation . . . 0
Expiration Date . 5/22/18
Special Notes and Comments
T/S: 05/22/2017 01: 14 PM JBROCK ----
401 TO CHALYBEATE RD TO 284 CHALYBEATE
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 17-50041448 Date 5/22/17
Property Address 284 CHALYBEATE RD
PARCEL NUMBER 08-0653- - -9000- - -
Application description . . CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name CHALYBEATE SPRINGS BAPTIST
Property Zoning RES/AGRI DIST - RA-40
Permit RESIDENTIAL MECHANICAL PERMIT
Additional desc .
Phone Access Code 1192608
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
999 409 M409 R*GAS PIPING /_/_
999 407 M407 R*MECH ABOVE CEILING / /_
999 405 M405 R*MECHANICAL UNDERGROUND / /_
999 131 R131 ONE TRADE FINAL / /_
999 125 R125 ONE TRADE ROUGH IN / /_