PERMIT / RECEIPT / BUILDING 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 17-50041277 Date 11/13/17
Property Address 94574 *UNASSIGNED
PARCEL NUMBER 02-1505- - -0108- -06-
Application type description CP NEW RESIDENTIAL (SFD)
Subdivision Name RUBY L TART PROPERTY
Property Zoning RES/AGRI DIST - RA-30
Owner Contractor
PARRISH MINDY HUDSON QUEST DEVELOPMENT
3164 US 301 S PO BOX 2121
DUNN NC 28334 DUNN NC 28335
(910) 567-4686
Applicant
MINDY PARRISH
3324 US 301 SOUTH
DUNN NC 28334
(910) 658-8600
--- Structure Information 000 000 55X66 3BRDM CRAWL W/PORCH
Flood Zone FLOOD ZONE X
Other struct info # BATHS 3
# BEDROOMS 3 . 00
PROPOSED USE SFD
SEPTIC - EXISTING? NEW
WATER SUPPLY COUNTY
Permit BLDG,MECH, ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1218163
Issue Date . . . 11/13/17 Valuation . . 0
Expiration Date . 11/13/18
Special Notes and Comments
T/S : 05/01/2017 02 : 03 PM BPETRICH --
NEXT TO 3164 US 301 SOUTH DUNN 28334
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
PERMIT INCLUDES BLDG, ELEC,MECH, PLUMB
INSULATION AND LAND USE.
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Work must conform and comply with the
STATE BUILDING CODE and all other State
and local laws, ordinances & regulations
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 17-50041277 Date 11/13/17
Property Address 94574 *UNASSIGNED
PARCEL NUMBER 02-1505- - -0108- -06-
Application description . . CP NEW RESIDENTIAL (SFD)
Subdivision Name RUBY L TART PROPERTY
Property Zoning RES/AGRI DIST - RA-30
Permit BLDG,MECH, ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1218163
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
10-30 814 A814 ADDRESS CONFIRMATION / /
10 101 B101 R*BLDG FOOTING / TEMP SVC POLE / /
20 103 B103 R*BLDG FOUND & TEMP SVC POLE / /
30-999 105 B105 R*OPEN FLOOR —/ /
40-50 129 I129 R*INSULATION INSPECTION / /
40-60 425 R425 FOUR TRADE ROUGH IN / /-
40-60 125 R125 ONE TRADE ROUGH IN / /
40-60 325 R325 THREE TRADE ROUGH IN / /
40-60 225 R225 TWO TRADE ROUGH IN / /
50-60 429 R429 FOUR TRADE FINAL / /
50-60 131 R131 ONE TRADE FINAL / /
50-60 329 R329 THREE TRADE FINAL / /
50-60 229 R229 TWO TRADE FINAL / /
50-60 209 E209 R*ELEC TEMP POWER CERT / /
999 H824 ENVIR. OPERATIONS PERMIT / /
HARNETT COUNTY CASH RECEIPTS
*** CUSTOMER RECEIPT ***
Oper: TBROCK Type: CP Drawer: 1
Date: 11/13/17 52 Receipt no: 149679
Year Number Amount
2017 50041277
94574 *UNASSIGNED
DUNN, NC 28334
BP - PERMIT FEES
B1 $1088.08
SFD
HOWELL EDWARDS
Tender detail ;1800.80
CP CREDIT CARD ;1000.80
Total tendered $1888.80
Total payment
Trans date: 11/13/17 Time: 11:40:85
** THANK YOU FOR YOUR PAYMENT **
09m9/17 Application#
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wort
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contractor Adder company Application for Residential Badding and Trades Penni
nem a phone must match
Owners Name INV < � Y 1S� Dale S 1.3 coley l7
Ste Address Phone
Drxpona to rob site from Ldlmgton 4/2 1 Td .v"VW Tv ten/ 5o or o 4 tiniY
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Subdision Lot
Description of Proposed Work - #of Bedrooms
Heeled SF_Unheated SF Finished Bonus Room',_Crawl Space _Slab
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Building Contractor s Company Name Telephone
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Address Emad Address
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License k
glen Contractor Information.
Description of Work 20 a •t-14(2 r✓ Service Size 20 o Amps T-Pole 1._Yes_No
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Elemrtal Contractors Company Na'me4..Iby J k5c Ku/.l Telephone
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License*
Mechanical/HOCK Contractor Information
Demotion of Work //SC PQuc1 q 10 �4 SSa 1
0114 KF-k7i,Je P-1-0A-t2 Telephone
Mechanical Contractors Company Name
-2c{ -MILL 1 nl 6ibr.1 el> DJ.1n1 14 C- EmailAddress
Address .
171 (o 4
Lanae#
Plumbing'Contractor Information
Description of Work A/C.-I en,' sye.4)c7,o 4 - k Baths 2-
&-2:✓a/ 57,4-Al tCy P'- "cd,•JCa roe/9- 29/-.43,a
Plumbing Contractors Company Name (e*
21-87 ?A/LPtetrD2,lnl L�o• a4-KS Email Address
Address
20 a / 3
License k
Insulation Contractor Information /Sze
Com,. a€44-.4-41-P -CAnew+;l0J 9 (D 39 /
Insulation Contractor s Company Name&Address Telephone
*NOTE General Contractor must fill out and sign the second papa of this application
I hereby cerhfy that I have the authority to make necessary application that the application a correct
end that-the construction will conform to the regulations in the Budding Fkctncs Plumbing and
Mechanical codes and the Iran County Zoning Ordnance-I slate the mformaton on the above'
contractors is correct as known to me and that nimamagausfassaussugssaudasta
ion to-obtain thaw carnia and d gm ohengn oocut sdrrdmg pad contractors she pan
danbee of bedrooms budding and trade plans ErmmnmaiW Health permit changes or proposed use
changes I candy it a my respdmbddy to not the Harnett County Central Permddg Department of
any and all charges
EXPIRED PERMIT FEES--II Months to 2 years permit reissue fee is S150 00 After 2 years reissue fee
m as per .• _, fee schedule
Its, X05 I ter
Signature ',i�r` :r_ . . . .. s)of Corporation Daa✓ Nb
1
Affidavit for Worker's Compensation N C G S 87-14
The undersigned applicant being the
,6. General Contractor _Owner _Office/Agent of the Contractor or Owner
Do hereby confirm under penelhea of perjury that the person(s) firm(s)or corporawn(s)performing the work
set forth in the permit
Has three(3)or more employees and has obtained workers compensation insurance to cover them •
Has one(1)or more subcontactom(s)and has obtained workers comfitpensation insurance to cover
the
jHas one(1)or more subcontractors(a)who has then own policy of workers compenatcn msuranee
ering themselves
•
Has no more than two(2)employees and no subcontractors
While working on the project for which this permit Is sought it is understood that the Central Permitting
Department issuing the permit may regime certificates of coverage of workers compensation insurance
pnor
to issuanc
a Det thenit n
and at any time dug the permitted work train any person firm or corporationc
Company orams t?FG. QJe57 .2E4 to, of 'J,),4S'
cI JG,
Sign wfr e \ Pit i$ . Date 1 3 nfe f i
Appointment of Lien Agent: Details-LiensNC Lien Service haps://apps.liensne.coin/scr/filing/delails.html?entryNumber=754493
DO NOT REMOVE!
Details: Appointment of Lien Agent Filed on: 11/13/2017
Entry #: 754493 Initially filed by: kedward.73
Designated Lien Agent Project Property Print & Post
Investors Title Insunince Company total 1848 acres Map Book 2013 Page 191 D ••ID
Luntl NC2
EMI"' D .NC... 1.848 acres
8334
Address:l9 W Haryen St suite507 RaItFh.NC Hornell CoCounty 0
P6nl
Contractors:
Phone:8115-.00-7M4 Plessey st this notice on the lob Site
Par:II 1-18r-»I Property Type
Suppliers and Subcontractors:
Email:soomnScan this image with your s man phone to
view this filing.You can then file a Notice
1-2 Family Dwelling
10 lien Agent for this project
Owner Information
Date of First Furnishing
Mindy Pan;sb
3324 US 301 South
Duan, NC 28334 114420I7
United States
Email ke70fa intmmnet
Phone'.911F591-87113
Vien Comments(0)
'fnehnieal Support Hotline:(888)690-7384
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