DOCUMENTS ci it 9 Application# , / sOC L4a a
Harnett County Central Permitting
PO Box 65 Lillington,NC 27546 - Ph:910-893-7525 - Fx:910-893-2793 - www.harnett.orglpermits
Certification of Work Performed By Owner/Contractor
(Individual Trade Application) p L
Owner(s)of Structure: 7,-SC 4_CJ`<'�1:3C11'x > Phone: CI\Vr8 La• 13G�
Owner(s)Mailing Address:it UtS \3Ct._3 _\f\p ger_Y
Land Owner Name(s): >{s SCDT\ ZY\PPhone: tO""2-cl„-`-.. ( I
Construction or Site Address: .3S 5kcs�>3c. (•Yc pr�� S." 111- [3 LA-�
/ 134
PIN# (SI � 'C S — �V4 ' rxparcel # pa I s17 O s U t 4
Job Cost: Description of Work to be done (-'LAG.”'-ir I
— (y,c i✓ (-"NS- /luw
n-rsoL.wC 11 �.p
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 custome we need the premise number
Plumbing: ewer Tap Number of Baths Water Heater
Specific Directions to Job from Lillington:
Subdivision: Lot#:
I ciA-St J cIOXI4,5_will provide the 'eLlabor on this structure.
(Contractors Name) (Trade)
I am the building owner or my NC state license number is Lr-lar , 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# , QStructure Owner/Contractor Signatur Q.� Date: C' D
By signing this application you affirm 1 t 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
Haman County Parcel Report hitp://gis.hamett.org/E91 I App/Parcels/ParcelRepon.aspx?pin=1518-...
Print Mlv page
--",( —•• Harnett Legal Description: Harnett County GIS
COUNTY
LTp3 ERNEST LEE SUB SECp2PCNFl]I]C
PI D.021517 018404 Tax Data Last Modified:
PIN:1518-5541849000 Calculated Land Units l Type:AC ac
REIO'.0045721 Neighborhood:00236
Subdivision: Actual Year Built:
Deeded Acreage'.0 ac TotalAcumlAreaHeated:S9IF%
Total Acnegs:0.95580142 ac Sale Month end Year:5 12000
Account Number 21920500 Sale Price:$30000
'Owners:JONES JASON Deed Book a Page'.1415-0253
Deed Date:
Owner Address:1149 BUD HAWKINS ROAD DUNN.NC 28334-0000 Plat Book&Page:-
Instrument1ype:W0
Properly Address:85 STEWART MASON DR DUNN,NC 28334 Vacant or Improved:
City.State,Zip'.DUNN,NC.28334 OueliledCode:Y
Building Count:0 Transfer or Spin:
Township Code:02
Fin Code'. li
Parcel Building Value.$0 Prior mudding Value:$0
'Parcel Outbuilding Value $2000 Prior Outbuilding Value:$2000
Parcel Land Value:$20000 Prior Land Value:$20000
Parcel Special Lend Value:$0 Prior Special land Value:$0
Total Value:$22000
Parcel Deferred Value:$0 Prior Deferred Value:SC
Total Annsed Value $22000 Prior Awned Value:$22000
Legal Lend Units,Unit Type:1.AC Prior Land Units:ac
kt•:
Qj
----s Iz1 tE`
` - 5Tf WARPMA$ON D0. Iligrt,aal,...r,
4
I of I 9128/17,3:48 PM
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 17-50042417 Date 9/28/17
Intersection
Property Address 91749 TECH 2
PARCEL NUMBER _ - - - - - _
Application type description CP SEWER/WATER TAP
Subdivision Name
Property Zoning UNZONED
Owner Contractor
JONES JASON OWNER
1149 BUD HAWKINS ROAD DUNN, NC
28334-0000
DUNN NC 28334
(910) 892-4307
Applicant
JONES JASON
1149 BUD HAWKINS ROAD DUNN, NC
28334-0000
DUNN NC 28334
(910) 892-4307
--- Structure Information 000 000 RUN WATER LINE - TAP GOING IN LATER
Permit RESIDENTIAL PLUMBING PERMIT
Additional desc .
Phone Access Code 1211960
Issue Date . . 9/28/17 Valuation . . 0
Expiration Date . 9/28/18
Special Notes and Comments
T/S : 09/28/2017 03 :49 PM JBROCK ----
85 STEWART MASON 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 17-50042417 Date 9/28/17
Property Address 91749 TECH 2
PARCEL NUMBER - -
Application description . . CP SEWER/WATER TAP
Subdivision Name
Property Zoning UNZONED
Permit RESIDENTIAL PLUMBING PERMIT
Additional desc .
Phone Access Code 1211960
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
999 305 M305 R*PLUMB SEWER CONNECTION —/ /
999 307 P307 R*PLUMB WATER CONNECTION _/ /—
999 309 P309 R*PLUMB UNDER SLAB
999 131 R131 ONE TRADE FINAL —/ /
999 125 R125 ONE TRADE ROUGH IN —/—/-
999 315 P315 R*PLUMB HW HEATER —/—/—