PERMIT & SETUP 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 17-50041815 Date 8/29/17
Intersection
Property Address 37 GILCHRIST RD
PARCEL NUMBER 09-9575- - -0053- - -
Application type description CP MOBILE HOME PARK
Subdivision Name GILBERT BROWN PROPERTY
Property Zoning PENDING
Owner Contractor
POOLE EUNICE C & THOMAS SANDRA RAVEN ROCK MOBILE HOME MOVER
PO BOX 958 3335 NC 87 HWY.
BROADWAY NC 27505 SANFORD NC 27332
(919) 775-3600
Applicant
POOLE EUNICE CATHERINE & #37
THOMAS SANDRA POOLE
PO BOX 958
BROADWAY NC 27505
--- Structure Information 000 000 14X70 3BDR SWMH
Other struct info # BEDROOMS 3000000 . 00
MOBILE HOME YEAR 1990 . 00
PROPOSED USE SWMH
SEPTIC - EXISTING? EXT TANK
Permit MANFACTURED HOME PERMIT
Additional desc .
Phone Access Code 1205517
Issue Date . . . 8/29/17 Valuation . . . . 0
Expiration Date . 8/29/18
Special Notes and Comments
T/S: 07/11/2017 03 : 26 PM JBROCK ----
GO TOWARDS JOHNSONVILLE TAKING HWY 27
TO END TAKE L ON HWY 24 TURN R ON
GILCHRIST RD 3RD LOT ON L
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 17-50041815 Date 8/29/17
Property Address 37 GILCHRIST RD
PARCEL NUMBER 09-9575- - -0053- - -
Application description . . CP MOBILE HOME PARK
Subdivision Name GILBERT BROWN PROPERTY
Property Zoning PENDING
Permit MANFACTURED HOME PERMIT
Additional desc .
Phone Access Code 1205517
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
10 501 T501 R*MOBILE HOME FOUND. / M. WALL / /
10 814 A814 ADDRESS CONFIRMATION / /
20 818 Z818 PZ*ZONING INSPECTION / /
30 507 T507 R*MANUFACTURED HOME FINAL / /
999 H824 ENVIR. OPERATIONS PERMIT / /
999 H828 ENVIRO. WELL PERMIT / /
999 307 P307 R*PLUMB WATER CONNECTION /
Application#171 -5 W y [ Q`S
Harnett County Central Permitting
PO Box 65 Lillington, NC 27546
Telephone Number: 910-893-7525 Fax 910-893-2793 www.harnett.org/permits
Application for Manufactured Home Set-Up Permit
(Please fill out each part completely)
Part I-Owner Information:
Home Owner Information (To be completed by owner of the manufactured home)
Name:jI a (4 C.e Address: SI I Z c c.V) tar'.
City$YOcz+d W4tA _State: NC- Zipq t 3)6 Daytime Phone: ( )
LandownererInformation(To be completed by landowner, if different than above)
Name? f 11 \ C .` ecx1-2-. Address:
City: State: Zip: Daytime Phone: ( )
Part II-Contractor Information (To be completed by Contractors or Homeowner, if applicable.
Name.addre & phone m,iyst match� information on license)
A. Set•Up Contractor Company Name:Vn4e. l'DUeL M kA lackYPNS
Phone:Q151-711,S-3CoOD Address: .2)21e2-5.2)21e2-5t 1
_C- l�l.c-t.` t�`1 M
City: Scn d State: '3 C Zip: D1 S2, ri
State Lic# 3 tAC t� Email:_ tO f A
B. ElectricalriContractorntt- ' Compan Name: -� CCS MP ✓ \ .yam, �.
Phona!ket:^\ fl 1Address: C:5 -t lee. Th•r
City: CC''kt--C ri r-�,y�State: I 1 Zip:
State Lic# JT ��CAIC Email: _1)... 1#2\ �\^
C. Mechanical/ic �Coontrr�acctorr Company Name -��� �J` �')
Phone:Q\R t63- g i_eAddress': yU a' O QC/
City: 3C7l A/'O State: N*l CI -Zip'. 7 R ,5
State Lic# A &� 3 Email
D. Plumbing Contractor Company Name: �C\ gen ICOC I Mt-A SOU S
Phone:gt9-Tn -No0L5 Address: 33.35 7J C &
City:�l\eird State: 10 C Zip: DC '2i3
State Licit CDD Email: NO
Part Ill-Manufactured Home Information
Model Year: ' QQ' 0 Size: 14-Xa
X ` D Complete& follow zoning�gp
crit' /eriasheet
Park Name: am e',I nn-(-T\-- Lot Number: ( J p L� ' I (�, \tncr S ),---
I hereby certify that I have the authority to apply for this permit, that the application is correct including the contractor
informatid have obt their permission to purchase these permits on their behalf, and that the constmction or
rg,
installa on will onfor to the linable manufactured home setup requirements, and the Harnett County Zoning
Ordina ce. I un rsta d that it an itm is i :
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