DOCUMENTS 1 1 Application# 11157J4-0-00"?...
Harnett County Central Permitting
PO Box 65 Lillington,NC 27546 - Ph:910-893-7525 - Fx:910-893-2793 - www.harnettorg/permits
Certification of Work Performed By Owner/Contractor
(Individual Trade Application)
Owner(s)of Structure: 1471p,%/AnSB-L Phone: 7�& W r 84202-579/0"' y/
Owner(s)Mailing Address:J2 C/'r ger ( r-/ eisne
_ A or/ "OC , _ ca.
Land Owner Name(s): Ss,.-ce Phone:
Construction or Site Address:
PIN# bS3S - ` ,a-5/bu•ga'eS-? bi bS3 S DUc�4
Job Cost, - Description of Work to be done OVA 7ociATC 2 SPr✓%Cc ,/S
Ane @r /ieuSG > /- f' Harr
Mechanical: New Unit With Ductwork New Unit Without Ductwork_ Gas Piping_Other V
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:
2/o sou-K. ID (//;eit /3rli/r ed *Of-el II,F* kocs.ol la Owl"'Il S ,
4-tiro 12.I051A1-/ Et liter Cr,,/C /srn/r/yrw.y d;y.{d: /Loci Anal, e-./
Leff.
Subdivision: Lot#:
I 4144 yJo uo S. will provide the S/e r ' -r ca ( labor on this structure.
(Contractors Name) (Trade)
I am the building owner or my NC state license number is ,9 Jnr r ,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 Signature: ,i6 ' Date: y'/7
By signing this application you affirm th-t; hay#. ed permission from the above listed license holder to
purchase permits on their behalf. If doing e work as owner you understand tharyou 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 17-50042002 Date 8/04/17
Property Address 327 CRITTER CREEK LN
PARCEL NUMBER 01-0535- - -0004- - -
Application type description CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning PENDING
Owner Contractor
JOHNSON JOHNNY WAYNE OWNER
RT 1 BOX 170
LINDEN NC 28356
Applicant
JOHNSON JOHNNY
327 CRITTER CREEK LN
LINDEN NC 28356
(910) 890-8225
--- Structure Information 000 000 RELOCATE 2 PANELS HOUSE&BARN UNDERGROUND
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE ELE UNDERGROUND
WATER SUPPLY NA
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1203736
Issue Date . . . 8/04/17 Valuation . . . . 0
Expiration Date . 8/04/18
Special Notes and Comments
T/S: 08/04/2017 11 : 33 AM JBROCK - ---
210 S TO ELLIOTT BRIDGE RD L PROCOED TO
OVERHILS RD R ON CRITTER CREEK LN 1ST
DRIVEWAY LAST HOUSE ON L
T/S: 08/04/2017 11 : 39 AM JBROCK ----
HAVING TO MOVE SERVICES TO MAKE ROOM
FOR ADDITIONS, THAT IS ANOTHER FILE
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 17-50042002 Date 8/04/17
Property Address 327 CRITTER CREEK LN
PARCEL NUMBER 01-0535- - -0004- - -
Application description . . CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning PENDING
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1203736
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 _/ /