DOCUMENTS / RECEIPT Nov. 7. 2017 9:07AM DIXIE DENNING No. 111155��5. 1/1
CO �/� t -I Application# l / S 1 7 9....t
It C�U " " "�lY 6 � � y Harnett County Central Permitting
PO Box 69 Lillington,NC 27546 - Ph:010-993-7525 - Ex:910.693-2793 - aaw.hamett.org/pemilts
\I 0 I Certification of Work Performed By Owner/Contractor
(Individual Trade Application) /� /� qq •
Owner(s)of structure: .ihm,1 Phone: 414- (1.70-3631e
Owner(s)Mailing Address: I50 (o n') RYUO1 (lb
/` Vurir. : All 77526
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Land Owner Name(s): Y _JI Phone: •Stam di 4.bw
Construction or Site Address: I Jn) I Aa rt!. ern It CI- L1/%6rj h✓ Aft
PIN M ,,. Parcel g
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Job Cost: I'(i�Description of Work to be done QOw 'PTS 1618 IP IDvt,
k_lege e1C(Ska, LAO Les- batoLe Ponta LP L ,. At ♦r3An L4 Rvti`•e
Loy.
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 customers wo need the premise number
Plumbing: Water/Sewer Tap Number of Baths Water Heater•
. ' B. -c icr • Jo. from Lillin•ton:
4-. P • . .. 6 IL ti.. . a .Ai _
ill
U - 9 u I u+ 1be,7a r n .u4e. Cf
Subdivision: Lot 6l:
I VJII WASH will provide the /43 P 10I✓W labor on this structure.
(Contractors Name) I 1 11 �l- rade)
I am the building owner or my NC state license number is lago ,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.
ikt- Ot.v>nnt, S-!tp(9 61144411-kvi
Contractor's Company Na ''"I'1 Telephone"�
rib c, Wtu , hrt l &AflA Jt 7-754 piXlult., _news. .eyt,I,6w.cl...
Ar .s.n!
sEmail Address
License 1e
Structure Owner/Contractor Signature: qv Date:
By signing This application you affirm the - eve obtained permission from the above lisle license holder to
purchase permits on their behalf. If doing the work as owner you understand that you cannot rent,lease or soli
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 17-50042721 Date 11/08/17
Property Address 150 LAUREL BROOK CT
PARCEL NUMBER 08-0644- - -0043- -14-
Application type description CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name LAUREL BROOK-PHASE II
Property Zoning RES/AGRI DIST - RA-30
Owner Contractor
MILLER JOHNNY M & NORMA G DIXIE DENNING - BENSON
2409 LAUREL BROOK DRIVE MICHAEL EDWARD DENNING
FUQUAY-VARINA NC 27526 PO BOX 517
BENSON NC 27504
(919) 894-3824
Applicant
DIXIE DENNING SUPPLY
705 S WALL ST
BENSON NC 27504
(919) 894-3824
--- Structure Information 000 000 15FT LP LINE INTO EXT UNDER HOUSE / LOGS
Flood Zone FLOOD ZONE X
Other struct info PROPOSED USE GAS LINE
WATER SUPPLY NA
Permit RESIDENTIAL MECHANICAL PERMIT
Additional desc .
Phone Access Code 1217769
Issue Date . . 11/08/17 Valuation . . . . 0
Expiration Date . . 11/08/18
Special Notes and Comments
T/S: 11/08/2017 11 : 31 AM JBROCK ----
E FRONT TOWARDS S 1ST ST R S MAIN ST L
MCKINNEY PKWY L US 401 N L CHALYBEATE
RD L ON BAPTIST GROVE RD L ON LAUREL
BROOK
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 17-50042721 Date 11/08/17
Property Address 150 LAUREL BROOK CT
PARCEL NUMBER 08-0644- - -0043- -14-
Application description . . CP STANDALONE TRADE - RESIDENTIAL
Subdivision Name LAUREL BROOK-PHASE II
Property Zoning RES/AGRI DIST - RA-30
Permit RESIDENTIAL MECHANICAL PERMIT
Additional desc .
Phone Access Code 1217769
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
999 409 M409 R*GAS PIPING
999 407 M407 R*MECH ABOVE CEILING _/_/_
999 405 M405 R*MECHANICAL UNDERGROUND / /
999 131 R131 ONE TRADE FINAL _/_/_
999 125 R125 ONE TRADE ROUGH IN / /_
NPB'XS ENRICHER RECEIPP a0ra
IA4669
70HOCN Receipt no:
tate: 11100117 52 Peount
Year Wisher
E
2017 50427C E1
127526
150 FUOUPVUR'1PRlNbb _ PERMIT FEES 460.00
bl
MECN PERMIT
bl%IE bENNINC
460.08
lender detail 460.08
CP alCREDIT
to CARD 460.00
Total pendent 39;20
Total payee Iine:ed Ill
Trans date: 11100/17 e"
Me THANK VON FCR VOLAR pRVNE