DOCMENTS Application# j ` 5 Oi-4 G-S
Ia \ Harnett County Central Permitting
PO Box 65 Lillington, NC 27546 - Ph:910-893-7525 - Fx:910-893-2793 - www.harnett.org/permits
Certification of Work Performed By Owner/Contractor
(Individual Trade Application)
Owner(s)of Structure: / //M4t 740144. S Phone:
Owner(s)Mailing Address: 5 57 /-4ra
av AA_ 2-15-1“--
Land
5z cLand Owner Name(s): ,dLC
df, Phone:
Construction�tior Site Address: (i/R
PIN# of(0QQ 'C(Q -S) S l4.1` -Parcel # �5 gLo�/ ci 0059
Job Cost: �'s at) Description of Work to be done -SFrv;r e -{-at 119,4 re ((ga✓5 e r
Mechanical: New Unit With uctwork New Unit Without Ductwork_ Gas Piping_Other
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:
Subdivision:siLot#:
o
/"t Q4G'fiwill provide the 'e to labor on this structure.
(Contractors Name) (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.
1711 �i^-e 7//` 77(- 5/(( Y
Contractor's Commny
Naffie Telephonelr//� '� r
4wr � MQYJ NO S
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Address Email Address
License#
Structure Owner/Contractor Signature: Date: 7/2-0 7
By signing this application you affirm that you h- e obtained permission from the above listed license holder to
purchase permits on their behalf. If doing t - , .rk as owner you understand that you cannot rent, lease or sell
the listed property for 12 months after cams -tion 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 17-50042423 Date 9/29/17
Property Address 559 PEYTON LN
PARCEL NUMBER 13-9690- - -0059- - -
Application type description CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning PENDING
Owner Contractor
THOMAS BROTHIE TILLMAN JR & J M POPE ELECTRIC
DEBORAH 409 CHATHAM ST
P 0 BOX 971 SANFORD NC 27330
BROADWAY NC 27505 (919) 776-5144
(910) 893-2540
Applicant
J M POPE ELE
409 CHATHAM ST
SANFORD NC 27330
(919) 776-5144
--- Structure Information 000 000 ELE SERVICE FOR ELE FENCE FOR LIVE STOCK
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE ELE
WATER SUPPLY NA
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1212299
Issue Date . . . 9/29/17 Valuation . . . 0
Expiration Date . 9/29/18
Special Notes and Comments
T/S: 09/29/2017 03 :19 PM JBROCK ----
559 PEYTON LANE
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 17-50042423 Date 9/29/17
Property Address 559 PEYTON LN
PARCEL NUMBER 13-9690- - -0059- - - -
Application description . . CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name
Property Zoning PENDING
Permit RESIDENTIAL ELECTRICAL PERMIT
Additional desc .
Phone Access Code 1212299
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 / /