BUILDING APP 4.4s,-/e / 7Soo ‘/1/497
Hamett County Central Permitting
- PO Box 85 DIBngton,NC 27548
Telephone Number 810-899-4759
A• !II . • I l • an. T -d. •erml
Owner's Name: 047//.1 , o‘.d/L .. e, ' /o,- Date: 7-7 "/ 7
Address: 79 Dderloo K C+ 4 .i.✓e c f5j Phone: `/7 c'-27- 4/4;1g
Directions to job sf/wy Nu/// - L.o {- 0,..
r1,144/6c.471?fed. —
/-e i- 0.1 44.14 / ile 7 Asir c4- -14/ck y Subdivision: 4 ,✓/4lfke-.S ,--/,-no.- Si ji , Lot: S
Cons Won Tvoe: lease Check) Buildina Usti: (Please Check)
yeNew _Residential
_Renovation _Modular
_Addition _Commercial
_Moved House Multi-Family
Other
Description of Proposed Work: ,✓e.w 5,1e ra-,-'//y
Total Project Cost: //t; PPi7
Buntline Permit Information
ra
Heated SF/3 Cwl Space(4 Building Construction Cost$ /,' v o Fes.
Unheated SF5jSlab(tom Acres Disturbed . S Stories /
tie,-drZ✓/loXgildeler-y, �- q/9 - v037- '/ fl
Building Contractor's Company Name
e Telephone y.lsD
?d- Oaer/ct *-c}- /I., er do ,l'5i/
Address License#
/
Signature of Offlcer(s)of Corporation
Electrical Permit Information
Description of WO ,+1°.+> Electrical Cost$
TS Pole: Yes(LT No() Underground (t)---- Overheard ()
Permanent Service: Underground (t)—Overhead () Service Size: ?oc Amps
2>eo.,. �r-Er,e_ Lcc_ 9/S- /v. - ooc=3
ElectricalContractor's Company Name Telephone
3753 dn�hst-4� e,�., ,-.,s.i -e/a..:,� ,39q32 -L
Address ,,,,/ License#
Q✓a ^ Ora,/ 6y .,; .:
Signature of Offlcer(s)of Corporation
Description of Work yVed--) Mechanical Permit information
Number of Units Type System //f' Mechanical Cost$
Car L.o- C '� - ,�.
ii
Mechanical Contractor's Company Name Telephone
<3/1, d< ,4s7 70 ,$s L/YJ.-r,� ,.✓c_ .77590 AP-21:22
Address > y License#
Signature of Offl r(s)of Corporation
..
of Work. Afe„s; Plumbing Permit Information
O2scr pU�.r..x,...
Numb%of Baths $- Plumbing Cost$
Liz. C/ouc t, .,. r,_ , �/e-579r - s3'9a
Plumbing Contractors Company Name Telephone
r'o 6(:0/ 74 3'+s:>,.,/ 4r_ 67S'2/ , 079S'q
AddresA License#
GC (io09r ".
Signature of Of icer(s of Corporation
Insulation Permit Information
Residential (y-,vier () Not Required ()
Tts✓/afY-- snc . /<, •L, ✓✓G- 9/5- 7702-2.04,c}
Insulation Contradtors Company Name Address-- / Telephone
Affidavit for Workerrs Compensation
N.C.G.S. 87-14
The undersigned applicant for Building Permit# being the:
✓ Contractor
Owner
Officer/Agent of the Contractor or Owner
Do hereby confirm under penalties of perjury that the person(s), firn(s) or corporatIon(s)
performing the work set forth in the permit:
Has/have three(3)or more employees and has/have obtained workers'
compensation Insurance to cover them.
Has/have one (1)or more subcontractors(s)and has/have obtained workers'
compensation insurance to cover them.
Has/have one(1)or more subcontractors(s)who has/have their own policy of
workers'compensation insurance covering themselves.
Has/have not 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 worker's
compensation insurance prior to issuance of the permit and at any time during the permitted work
from any person,firm or corporation carrying out the work.
Firm Name: 4 A.:/liKC,,/eery—__ L
By/Title: v'rrAdetx+
Data
o.,....a..r o ..,,...
Sprinkler System Information
Sprinkler Contractor's Company Name Telephone
Contact Person
Address License#
Signature of Officer(s)of Corporation
Fire Alarm System Information
Fire Alarm Contractor's Company Name Telephone
Contact Person
Address License#
Signature of Officer(s)of Corporation
Driveway Access
NC Department of Transportation Driveway Access/Permit? Yes_ No
I hereby certify that I have the authority to make necessary application, that the application Is
correct 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 if any changes occur
Including listed contractors, site plan, building and trade plans, Environmental Health permit
changes or proposed use changes, I certify it is my responsibility to notify the Harnett County
Central Permitti g DI Is of any and all changes.
Signatuer/Contractor) �' —�7
Offker(s)of Corporation Date
ea..e•' of I ....f.
Appointment of Lien Agent: Details - LiensNC Lien Service Page 1 of 1
DO NOT REMOVE!
Details: Appointment of Lien Agent
Filed on: 07/11/2017
Entry f: 6e5103 Initl.11y flied by: keithbullock
D.slgnabd Lien Agent Project Property
Printr & Post
Fidelity NationalTileCmmpy.LLC Lot 5 BobbyB and Betty S.Matthews MinPr=r= •CI
SuquerVs tDivaF
Brlic gsw Masts sew Rbth aioay NC 27526 Ist .":k
.Wets 19W.N.�St.HeM/dtie..NC HwoUCanb p ,wrt
27M)
Yule.tltltlb9113M Please post this notice cc be lob Sae.
Far:913-I19-5131 Property Type 9uppYenud 9.beo.4gon1
8.01:uggarprnor tom
Scan this an weNyour smnmw
phone
view this filing Youcancan then file a Nance
1-2 FemYy Dwelling to Lim Agog forgot project
OWn.r Information
Date of First Furnishing
RrcAuE K Bullock
72 Overlook Cl
Mighty. NC 27501 07/0/1017
United States
Email.kbbinc IG dpre6co n
Pbme.919-6347420
View Comments(0)
Technical Support Hntli.c88)69].73 4
https://apps.liensnc.com/scr/appointment/details.html?entryNumber=685143&printable= 7/11/2017
1� Date ".7 �� �
Plan Box Si 'l.n���I Job Name 11 J .Il r c
App p " W v l Valuatiot!3 ) 90 Y SQ Feet 137 L)
Garage 5 1 `i
= 1 <&q\-3
Inspections for SFD/SFA
Crawl \ Slab_ Mono_ Basement_
Footing Footing Plum Under Slab Footing
Foundation Foundation Ele. Under Slab Foundation
Address Address Address Waterproofing
Open Floor Slab Mono Slab Plum Under slab
Rough In Rough In Rough In Address
Insulation Insulation Insulation Slab
Final Final Final Open Floor
Rough In
Insulation
Final
Foundation Survey_ Envir. Health_ Other
Additions/Other
Footing
Foundation_
Slab_
Mono_
Open Floor
Rough In
Insulation_
Final
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 17-50041641 Date 7/12/17
Property Address 237 BAPTIST GROVE RD
PARCEL NUMBER 08-0643- - -0032- -04-
Application type description CP NEW RESIDENTIAL (SFD)
Subdivision Name
Property Zoning RES/AGRI DIST - RA-40
Owner Contractor
BULLOCK R KEITH & CALVIN KEITH BULLOCK BUILDERS INC.
72 OVERLOOK COURT 72 OVERLOOK CT
ANGIER NC 27501 ANGIER NC 27501
(919) 639-7424
Applicant
BULLOCK KEITH
72 OVERLOOK CT
ANGIER NC 27501
(919) 427-4628
--- Structure Information 000 000 55X55 3BDR 2BATH W/GARAGE W/DECK CRAWL
Flood Zone FLOOD ZONE X
Other struct info # BEDROOMS 3 . 00
PROPOSED USE SFD
SEPTIC - EXISTING? NEW
WATER SUPPLY COUNTY
Permit BLDG,MECH, ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1200088
Issue Date . . . 7/12/17 Valuation . . . . 0
Expiration Date . 7/12/18
Special Notes and Comments
T/S : 06/15/2017 11 : 18 AM LBENNETT --
HWY 401 N - LEFT ON CHALYBEATE RD -
LEFT ON BAPTIST GROVE RD - LOT ON LEFT
1/4 MILE
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
PERMIT INCLUDES BLDG, ELEC, MECH, PLUMB
INSULATION AND LAND USE.
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Work must conform and comply with the
STATE BUILDING CODE and all other State
and local laws, ordinances & regulations
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 17-50041641 Date 7/12/17
Property Address 237 BAPTIST GROVE RD
PARCEL NUMBER 08-0643- - -0032- -04-
Application description . . CP NEW RESIDENTIAL (SFD)
Subdivision Name
Property Zoning RES/AGRI DIST - RA-40
Permit BLDG,MECH, ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1200088
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
10-30 814 A814 ADDRESS CONFIRMATION _/ /_
10 101 B101 R*BLDG FOOTING / TEMP SVC POLE / /_
20 103 B103 R*BLDG FOUND & TEMP SVC POLE / /_
20-999 113 B113 R*BLDG WATER/DAMP PROOFING / /
20-999 114 B114 R*BLDG MONO SLAB/TEMP SVC POLE / /_
30-999 111 B111 R*BLDG SLAB INSP/TEMP SVC POLE /_/_
30-999 105 B105 R*OPEN FLOOR / /_
30-999 309 P309 R*PLUMB UNDER SLAB _/ /_
30-999 205 E205 R*ELEC UNDER SLAB / /_
40-50 129 I129 R*INSULATION INSPECTION / /
40-60 425 R425 FOUR TRADE ROUGH IN / /_
40-60 125 R125 ONE TRADE ROUGH IN / /_
40-60 325 R325 THREE TRADE ROUGH IN _/ /_
40-60 225 R225 TWO TRADE ROUGH IN _/ /_
50-60 429 R429 FOUR TRADE FINAL _/ /_
50-60 131 R131 ONE TRADE FINAL / /_
50-60 329 R329 THREE TRADE FINAL / /_
50-60 229 R229 TWO TRADE FINAL / /_
50-60 209 E209 R*ELEC TEMP POWER CERT / /_
999 H824 ENVIR. OPERATIONS PERMIT / /
999 H828 ENVIRO. WELL PERMIT / /_
999 104 B104 R*FOUND & SETBACK VERIF SURVEY / /