DOCUMENTS ) ,I In Application#_ I '75OV4 / /
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: ge4 h -Tay, I a Phone: 'r �� -7100 706
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Owner(s)Mailing Address: ) I I C0 &Mac d N.Ve J GYOa) Wd/
Land Owner Name(s): — Phone: —
Construction or Site Address:
PIN# Parcel# pp /
Job Cost: Description of Work to be done It ep(a co au-4 5'p e
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Mechanical: New Unit With Ductwork_ New Unit Without Ductwork_ Gas Piping Other
Electrical": 200 Amp_<200 Amp I/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 '
laKe 4 I 0vih Garnier P p(ie.'rvw-Fyr D - wir e
t-e-N on L ?'P (ovvriy I:ne ft0�af, l-4P# 4 r'iI Itom c aitsfet
Dr.ve . i Htx,r ill on -the Ir i ,
Subdivision:viI e Vr Ca K (h'10 hi$e kn:r'f ravk Lot#:
I RC66� ckL*v� InP will provide the £ (L'C'D,^,'Ca-( labor on this structure.
(Co tractors Na e) (Trade)
I am the building owner or my NC state license number is ,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.
Ila(,hv stio"P tilesayrc Crr 9 - 499"- fl '
Contractor's Obmpany NaMe Telephone
E(er -Fvi'c Lnvbe
Address Email Address
License#
Structure Owner/Contractor Signature: Safi,— At/Va----- Date: 9- I S-(
By signing this application you affirm that 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, 8 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 17-50042277 Date 9/15/17
Property Address 119 ROMAS DR
PARCEL NUMBER 13-9681- - -0038- - -
Application type description CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning PENDING
Owner Contractor
T & T PROPERTIES LLC BOBBY SHARPE ELECTRIC
465 LAWRENCE RD 397 HOOVER RD
BROADWAY NC 27505 SANFORD NC 27332
(919) 498-3610
Applicant
TAYLOR BETH
(919) 770-0706
--- Structure Information 000 000 REPLACE OUTSIDE MAIN SERVICE
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE ELE
WATER SUPPLY COUNTY
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc
Phone Access Code 1209204
Issue Date . . . 9/15/17 Valuation . . . . 0
Expiration Date . 9/15/18
Special Notes and Comments
T/S: 09/15/2017 02 : 54 PM JBROCK --- -
421 N TO SANFORD APPROX 12 MILES L ON
LEE COUNTY LINE RD L ON ROMAS DR HOE ON
THE LEFT
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 17-50042277 Date 9/15/17
Property Address 119 ROMAS DR
PARCEL NUMBER 13-9681- - -0038- - -
Application description . . CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning PENDING
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1209204
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 _/_/—