DOCUMENTS ^ �\ I ( n Application# 1 SOO"i I in o
VG l Harnett County Central Permitting
PO Box 65 Lillington, NC 27546 - Ph:910-893-7525 - Fx: 910-893-2793 - vwrw.harnott.org/permits
Certification of Work Performed By Owner/Contractor
(Individual Trade Application) / p
Owner(s)of Structure: Ai ^}�' Phone: 7/7^ Y`l9-- 0 SSS
Owner(s)Mailing Address: -2 '15' Q i.8 �^^— j"'-"-, �p��,_
Land Owner Name(s): Phone::
Construction or Site Address: ^ 0814
PIN#A96 +q -�� -6S75.00°Parcel# (�3 `II-�•S7 0
Job CA 3S � Description of Work to be done Can Se r U i C 9-.
cg.a. n r
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 Water Heater
Specific Directions to Job from Lillington:
Subdivision: /^�y �r, Lot#:
" H1
I .u, HUdtn will provide the c labor on this structure.
(Contractors Name) (Trade)
I am the building owner or my NC state license number is 1=L.LAI_L' ,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 Signatur::0 to /. .aJ Date: (pr-2- r
By signing this application you affirm t at 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, & 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 17-50041684 Date 6/21/17
Intersection
Property Address 24 AUSTIN FARM LN
PARCEL NUMBER 03-9579- - -0084- - -
Application type description CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning PENDING
Owner Contractor
AUSTIN PAUL J OWNER
245 BUCKHORN RD
MONCURE NC 27559
(919) 499-9711
Applicant
AUSTIN PAUL
3808 US 64 MORGANTON, NC
28655-0000
MORGANTON NC 28655
(919) 499-8555
--- Structure Information 000 000 200 AMP ELE SERVICE
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE ELE SERVICE
WATER SUPPLY NA
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc
Phone Access Code 1197078
Issue Date . . . 6/21/17 Valuation . . 0
Expiration Date . 6/21/18
Special Notes and Comments
T/S : 06/21/2017 02 :46 PM JBROCK ----
24 AUSTIN FARM OFF OF BROADWAY 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 17-50041684 Date 6/21/17
Property Address 24 AUSTIN FARM LN
PARCEL NUMBER 03-9579- - -0084- - -
Application description . . CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning PENDING
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1197078
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
999 211 E211 R*ELEC ABOVE CEILING
999 217 E217 R*ELEC RECONNECT
999 205 E205 R*ELEC UNDER SLAB
999 215 E215 R*ELEC. UND. POOL
999 213 E213 R*ELECTRICAL UNDERGROUND /
999 131 R131 ONE TRADE FINAL _/ /
999 125 R125 ONE TRADE ROUGH IN / /