SETUP / PERMIT Application# f- ,t1Dk U`3
Harnett County Central Permitting
PO Box 65 Lillington, NC 27546
Telephone Number: 910-893-7525 Fax 910-893-2793 www.harnett.org/permits
Application for Manufactured Home Set-UI) Permit
(Please fill out each pan completely)
Part I-Owner Information:
Home Owner Information (To be completed by owner of the manufactured home)
Name: f�r,r41 4y 1/4. 1 J' Address: ?c" Yr-x,) -Cr"
City: State: NC Zip: 2IC"QV Daytime Phone: (Sy) W 7 -2"6f
Landowner Information (To be completed by landowner, if different than above)
Name: Address:
City: State: Zip: Daytime Phone: ( )
Part II-Contractor Information (To be completed by Contractors or Homeowner, if applicable.
Name,address.Ie nhnnn must match information on license)
A. Set-Up Contractor Company Name: E4S 51reei- msu,K
Phone: _ q1y -42o-3$44- Address: bar E4ty Slrrrl-
City: — p v,.'. — State: x✓[ Zip: _ ad 3 3
State Lic#_ y C;v7 _Email:
B. Electrical Contractor Company Name: S4 F c I Pr kr: C
Phone: 9I5 - 6s. ' -4(4.64 Address: So (3o* 5`f
City: GPncc a State: /'C Zip: a 7504
State Lic# a7o7o --v Email:
C. Mechanical Contractor Com Ilan Name.
Phone: Addr- -
City: State: ip:
e Lic# Email:
D. Plumbing Contractor Company Name: lLmr a�nrr
Phone: Address:
City: State: Zip:
State Lic# Email:
Part III-Manufactured Home Information
Model Year: /5f0 Size: /Y X 70 Complete&follow zoning criteria sheet
Park Name: Lot Number:
I hereby certify that I have the authority to apply for this permit, that the application is correct including the contractor
information and have obtained their permission to purchase these permits on their behalf, and that the construction or
installation will conform to the applicable manufactured home set-up requirements. and the Harnett County Zoning
Ordinance. I understand that if any item is incorrect or false information has been provided that this permit could be
revoked.
//' IT'-/7
Signature of Home Owner or Agent Date
'Effective July I.2004,a County Tax Department Moving Permit must be provided before a Set Up Permit will be issued. It is
purchased from the tax office of the county that the home is moved from. I1 the home is from a dealer, we need proof of year on the
Form 500 and it available, the serial number.
List of inspections and Egress requirements available upon request. Progress Energy customers must provide Premise Number.
04/11
SETUP
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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 17-50042623 Date 11/16/17
Property Address 24 QUARTER HORSE LN
PARCEL NUMBER 02-1518- - -0012- -02-
Application type description CP MANUFACTURED HOME RA 30 CRITERIA
Subdivision Name R A MCLAMB & CLESTER JOHNSON
Property Zoning RES/AGRI DIST - RA-30
Owner Contractor
STEWART JAMES A & WILLA DEAN EASY STREET MOVERS, LLC
RT 3 BOX 290 805 EASY STREET
DUNN NC 28334 DUNN NC 28334
(805) 820-3865
Applicant
YOUNG KENNETH
300 BYRON STREET
DUNN NC 28334
--- Structure Information 000 000 14X70 3BD 2BA SWMH IN RA 30
Flood Zone FLOOD ZONE X
Other struct info # BATHS 2
# BEDROOMS 3 . 00
MOBILE HOME YEAR 1990 . 00
PROPOSED USE SWMH
SEPTIC - EXISTING? EXISTING
Permit LAND USE PERMIT
Additional desc .
Phone Access Code . 1218841 0
Issue Date . . . . 11/16/17 Valuation . . . .
Expiration Date . 5/15/18
Permit MANFACTURED HOME PERMIT
Additional desc . .
Phone Access Code . 1218858
Issue Date . . . . 11/16/17 Valuation . . . 0
Expiration Date . . 11/16/18
Special Notes and Comments
T/S: 10/25/2017 01 : 55 PM BPETRICH --
LOT IS AT CORNER OF QUARTER HORSE LANE
AND FAIRGROUND ROAD - TAKE 421 TO DUNN
- LEFT ON RED HILL CHURCH ROAD - RIGHT
ON THREE BRIDGE ROAD - LEFT ON
FAIRGROUND ROAD
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 17-50042623 Date 11/16/17
Property Address 24 QUARTER HORSE LN
PARCEL NUMBER . 02-1518- - -0012- -02-
Application description . . CP MANUFACTURED HOME RA 30 CRITERIA
Subdivision Name R A MCLAMB & CLESTER JOHNSON
Property Zoning RES/AGRI DIST - RA-30
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
Permit type . . . . MANFACTURED HOME PERMIT
10 501 T501 R*MOBILE HOME FOUND. / M. WALL / /
10 814 A814 ADDRESS CONFIRMATION / /
20 818 2818 PZ*ZONING INSPECTION _/_/
30 507 T507 R*MANUFACTURED HOME FINAL / /