DOCUMENTS 1 1231 1 '1 Application# � 1SV4 ) r S3
Harnett County Central Permitting
PO Box 65 Lillington, NC 27546 - Ph: 910-893-7525 - Fx:910-893-2793 - www.harnett.org/permits
Certification of Work Performed By Owner/Contractor
// (Individual Trade Application)
Owner(s)of Structure: /y C.6/5,7/ Phone:
Owner(s)Mailing Address:/Gja,.- 4171/!-242' LAL) 70G4../i=vQ- /// Ji.u1✓K-fi-A-1
Land Owner Name(s): /4/7-. Phone:
Construuctionor/Site Address:rj O.4 Y
PIN# "I c'rILs -19 -CUC:10•00C) Parcel# 03Q'SeLy C, n�
LL�� G s.0 G
Job Cost✓0 Description of Work to be done -ri✓ �A7A/,L �r/=/'✓F7+�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 Lillin ton: ,i
77.4 49/u �/r ,k,212 �,A1 phi 1/27/2-X71 44 /;,1�
Subdivision: Lot#:
�4
y/.42T�i' (1 will provide the `�C� labor on this structure.
(Contractors Name) (Trade)
I am the building owner or my NC state license number is 4'7/O C , 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.
A1,// C.//�//// /).L 7i-li /4 q?6
Contractor's Company Name
Telephone
/� c-/./1-/ /V//t/ (1_./-i/a2,444/17 :‘,/
A dress
Email Address
-9 / 2 �/
License# \
Structure Owner I Contractor Signa[ure:4 -7J777� /� -4/ Date:
(7. 12- /
By signing this application you affirm that you have obt4ined 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 17-50041753 Date 7/03/17
Property Address 1966 MICRO TOWER RD
PARCEL NUMBER 03-9596- - -9000- - -
Application type description CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning PENDING
Owner Contractor
STATE OF NORTH CAROLINA PATRICK ELECTRICAL CONTRS LLC
I ST PROPERTY OFFICE 1309 NORTH MAIN STREET
116 WEST JONES STREET LILLINGTON NC 27546
RALEIGH NC 27603 (910) 893-5774
Applicant
HARNETT COUNTY SHERIFF
--- Structure Information 000 000 INSTALL GENERATOR
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE INSTALL GENER
WATER SUPPLY UNKNOWN
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1198720
Issue Date . . . 7/03/17 Valuation . . . . 0
Expiration Date . 7/03/18
Special Notes and Comments
T/S : 07/03/2017 10 :41 AM JBROCK ----
27 E L ON DOC' S RD R ON MICRO TOWER 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 17-50041753 Date 7/03/17
Property Address 1966 MICRO TOWER RD
PARCEL NUMBER 03-9596- - -9000- - -
Application description . . CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning PENDING
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1198720
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 / /
Application#
Harnett County Central Permitting
PO Box 65 Lillington, NC 27546 - Ph:910-893-7525 - Fx: 910-893-2793 - www.hamett.org/permits
Certification of Work Performed By Owner/Contractor
(Individual Trade Application)
Owner(s)of Structure: Phone:
Owner(s)Mailing Address:
Land Owner Name(s): Phone:
Construction or Site Address:
PIN# Parcel#
Job Cost: Description of Work to be done
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: Lot#:
I Av.12v A- (ko" Yr'will provide the fuel 1: p� labor on this structure.
(Contractors Name) (Tr a
I am the building owner or my NC state license number is 22.50 L3 1 , which entitles me to
perform such work on the above structure legally. All work shall comply with the Slate Building Code and all
other applicable State and local laws, ordinances and regulations.
Fes vw, t( \.17Ejni + 0 : \ Co , Tnt `llo'- wto- 2330
Contractor's Company Name Telephone
6o6j .)S Lot S •
Address Email Address
z25C
License#
-44
Structure Owner/Contractor Signature: t c„i Date: �' 3- I Th
By signing this application you affirm that you nave 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 17-50041753 Date 7/03/17
Property Address 1966 MICRO TOWER RD
PARCEL NUMBER 03-9596- - -9000- - -
Application type description CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning PENDING
Owner Contractor
STATE OF NORTH CAROLINA PATRICK ELECTRICAL CONTRS LLC
% ST PROPERTY OFFICE 1309 NORTH MAIN STREET
116 WEST JONES STREET LILLINGTON NC 27546
RALEIGH NC 27603 (910) 893-5774
Applicant
HARNETT COUNTY SHERIFF
--- Structure Information 000 000 INSTALL GENERATOR
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE INSTALL GENER
WATER SUPPLY UNKNOWN
Permit RESIDENTIAL MECHANICAL PERMIT
Additional desc .
Phone Access Code 1198738
Issue Date . . 7/03/17 Valuation . . . . 0
Expiration Date . 7/03/18
Special Notes and Comments
T/S: 07/03/2017 10 :41 AM JBROCK ----
27 E L ON DOC' S RD R ON MICRO TOWER 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 17-50041753 Date 7/03/17
Property Address 1966 MICRO TOWER RD
PARCEL NUMBER 03-9596- - -9000- - -
Application description . . CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning PENDING
Permit RESIDENTIAL MECHANICAL PERMIT
Additional desc .
Phone Access Code 1198738
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 /�7
999 131 R131 ONE TRADE FINAL
999 125 R125 ONE TRADE ROUGH IN /